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NPI Code Detail

MEDICARE: MS. KAY CHRISTEL PEEMOELLER

MEDICARE:  MS. KAY CHRISTEL PEEMOELLER
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
1235Z00000XSpeech-Language Pathologist2204000583VA

General Provider Information

NPI Number : 1033717939
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KAY CHRISTEL PEEMOELLER
Provider Business Mailing Address
First Line : 2213 ROUND HILL DR
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23464-8855
Country : US
Telephone Number : 757-648-2520
Fax Number : 757-471-5817
Provider Business Practice Location Address
First Line : 2213 ROUND HILL DR
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23464-8855
Country : US
Telephone Number : 757-648-2520
Fax Number : 757-471-5817
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2020
Last Update Date : 10/13/2020

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Directions to “ MS. KAY CHRISTEL PEEMOELLER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.