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NPI Code Detail

MEDICARE: SHAINA SUMNEY KERNODLE MA, CCC-SLP

MEDICARE: SHAINA SUMNEY KERNODLE MA, 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 Pathologist11782NC

General Provider Information

NPI Number : 1265913826
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAINA SUMNEY KERNODLE MA, CCC-SLP
Provider Business Mailing Address
First Line : 2401 S SIDE BLVD
Second Line :
City : GREENSBORO
State : NC
Zip : 27406-3311
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2401 S SIDE BLVD
Second Line :
City : GREENSBORO
State : NC
Zip : 27406-3311
Country : US
Telephone Number : 336-604-2322
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2018
Last Update Date : 08/22/2018

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Directions to “ SHAINA SUMNEY KERNODLE MA, CCC-SLP” 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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