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NPI Code Detail

MEDICARE: KATHLEEN ELLIS-DOWLING MS, CCC-SLP

MEDICARE: KATHLEEN ELLIS-DOWLING 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 Pathologist6567NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11372UOTHERNCNC BCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346246345
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN ELLIS-DOWLING MS, CCC-SLP
Provider Business Mailing Address
First Line : 800 BROOKSTOWN AVE
Second Line :
City : WINSTON-SALEM
State : NC
Zip : 27101-3745
Country : US
Telephone Number : 336-725-0222
Fax Number : 336-725-0454
Provider Business Practice Location Address
First Line : 800 BROOKSTOWN AVE
Second Line :
City : WINSTON-SALEM
State : NC
Zip : 27101-3745
Country : US
Telephone Number : 336-725-0222
Fax Number : 336-725-0454
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2005
Last Update Date : 02/06/2009

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Directions to “ KATHLEEN ELLIS-DOWLING MS, CCC-SLP” Practice Location

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