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NPI Code Detail

MEDICARE: CHRISTINE GEORGEANNE KUTYS MS, CCC-SLP

MEDICARE:   CHRISTINE GEORGEANNE KUTYS  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 Pathologist

General Provider Information

NPI Number : 1255820320
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE GEORGEANNE KUTYS MS, CCC-SLP
Provider Business Mailing Address
First Line : 271 STONEBRIAR CIR APT 105
Second Line :
City : SPRING LAKE
State : NC
Zip : 28390-2199
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9621 BITTER MELON DR
Second Line :
City : ANGIER
State : NC
Zip : 27501-5917
Country : US
Telephone Number : 919-358-7089
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2018
Last Update Date : 05/04/2018

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Directions to “ CHRISTINE GEORGEANNE KUTYS MS, CCC-SLP” Practice Location

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