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NPI Code Detail

MEDICARE: KAITLIN ANDERSEN

MEDICARE:   KAITLIN  ANDERSEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12355S0801XSpeech-Language AssistantSI8225FL

General Provider Information

NPI Number : 1023968054
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLIN ANDERSEN
Provider Business Mailing Address
First Line : 12974 MALLORY CIR APT 101
Second Line :
City : ORLANDO
State : FL
Zip : 32828-3813
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1858 N ALAFAYA TRL STE 207
Second Line :
City : ORLANDO
State : FL
Zip : 32826-4754
Country : US
Telephone Number : 407-900-5313
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2026
Last Update Date : 01/29/2026

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Directions to “ KAITLIN ANDERSEN ” Practice Location

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