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NPI Code Detail

MEDICARE: KAMERYN SPIVEY

MEDICARE: KAMERYN SPIVEY
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 Pathologist

General Provider Information

NPI Number : 1194681361
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAMERYN SPIVEY
Provider Business Mailing Address
First Line : 4774 HWY 32 E
Second Line :
City : NICHOLLS
State : GA
Zip : 31554-5808
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 618 BOWENS MILL RD SW
Second Line :
City : DOUGLAS
State : GA
Zip : 31533-3926
Country : US
Telephone Number : 912-493-2661
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/31/2025
Last Update Date : 12/31/2025

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Directions to “ KAMERYN SPIVEY ” Practice Location

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