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NPI Code Detail

MEDICARE: KAYLA UNDERWOOD

MEDICARE: KAYLA UNDERWOOD
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 Pathologist07344MD

General Provider Information

NPI Number : 1275908634
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA UNDERWOOD
Provider Business Mailing Address
First Line : 105 QUIET WATERS PL
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21403-2705
Country : US
Telephone Number : 412-613-8201
Fax Number :
Provider Business Practice Location Address
First Line : 2131 DAVIDSONVILLE RD
Second Line :
City : CROFTON
State : MD
Zip : 21114-1632
Country : US
Telephone Number : 410-721-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2015
Last Update Date : 12/09/2015

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Directions to “ KAYLA UNDERWOOD ” 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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