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NPI Code Detail

MEDICARE: KAITLYN LOSEY M.S.

MEDICARE: KAITLYN LOSEY M.S.
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 Pathologist5927TN

General Provider Information

NPI Number : 1134572050
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLYN LOSEY M.S.
Provider Business Mailing Address
First Line : 9041 EXECUTIVE PARK DRIVE
Second Line : SUITE 126
City : KNOXVILLE
State : TN
Zip : 37923-4690
Country : US
Telephone Number : 731-445-7774
Fax Number :
Provider Business Practice Location Address
First Line : 714 S LAKE DR STE 150
Second Line :
City : LEXINGTON
State : SC
Zip : 29072-3473
Country : US
Telephone Number : 803-356-4782
Fax Number : 803-996-4782
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2016
Last Update Date : 07/15/2019

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Directions to “ KAITLYN LOSEY M.S.” Practice Location

Language Start Address Practice Location
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