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NPI Code Detail

MEDICARE: KAITLYN MARIE JAEGER

MEDICARE:   KAITLYN MARIE JAEGER
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 PathologistNY

General Provider Information

NPI Number : 1205768033
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLYN MARIE JAEGER
Provider Business Mailing Address
First Line : 2555 HAMBLETONIAN WAY
Second Line :
City : CAMILLUS
State : NY
Zip : 13031-8640
Country : US
Telephone Number : 315-227-2555
Fax Number :
Provider Business Practice Location Address
First Line : 2555 HAMBLETONIAN WAY
Second Line :
City : CAMILLUS
State : NY
Zip : 13031-8640
Country : US
Telephone Number : 315-227-2555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2026
Last Update Date : 06/03/2026

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Directions to “ KAITLYN MARIE JAEGER ” Practice Location

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