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NPI Code Detail

MEDICARE: MS. VIRGINIA GAIL MEADOWS MS, CCC/SLP

MEDICARE: MS. VIRGINIA GAIL MEADOWS MS, CCC/SLP
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 Pathologist3005KY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
218-4517OTHERKYMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124286232
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. VIRGINIA GAIL MEADOWS MS, CCC/SLP
Provider Business Mailing Address
First Line : 532 SHAKER MILL RD
Second Line :
City : BOWLING GREEN
State : KY
Zip : 42103-9086
Country : US
Telephone Number : 270-535-5517
Fax Number : 270-904-0836
Provider Business Practice Location Address
First Line : 815 TRIPLETT ST
Second Line :
City : OWENSBORO
State : KY
Zip : 42303-3564
Country : US
Telephone Number : 270-683-4517
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2008
Last Update Date : 02/16/2017

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Directions to “ MS. VIRGINIA GAIL MEADOWS MS, CCC/SLP” Practice Location

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