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NPI Code Detail

MEDICARE: MRS. ANNE KATHLEEN KIERNAN M.S., CCC-SLP

MEDICARE: MRS. ANNE KATHLEEN KIERNAN M.S., 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 Pathologist015520NY

General Provider Information

NPI Number : 1346305695
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANNE KATHLEEN KIERNAN M.S., CCC-SLP
Provider Business Mailing Address
First Line : 15 CHARLESTON AVE
Second Line :
City : KENMORE
State : NY
Zip : 14217-2915
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 777 MARYVALE DR
Second Line :
City : CHEEKTOWAGA
State : NY
Zip : 14225-2712
Country : US
Telephone Number : 716-631-9591
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2006
Last Update Date : 04/30/2012

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Directions to “ MRS. ANNE KATHLEEN KIERNAN M.S., CCC-SLP” Practice Location

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