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NPI Code Detail

MEDICARE: KATHRYN MEDINE

MEDICARE: KATHRYN MEDINE
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 Pathologist6367LA

General Provider Information

NPI Number : 1124323498
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN MEDINE
Provider Business Mailing Address
First Line : 6658 MILLSTONE AVE
Second Line :
City : BATON ROUGE
State : LA
Zip : 70808-5114
Country : US
Telephone Number : 225-776-1554
Fax Number :
Provider Business Practice Location Address
First Line : 6658 MILLSTONE AVE
Second Line :
City : BATON ROUGE
State : LA
Zip : 70808-5114
Country : US
Telephone Number : 225-776-1554
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2011
Last Update Date : 01/18/2011

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Directions to “ KATHRYN MEDINE ” 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.

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