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NPI Code Detail

MEDICARE: KRISTIN LEANNE MCKINNEY M.A. CCC-SLP

MEDICARE: KRISTIN LEANNE MCKINNEY M.A. 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 : 1417159559
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN LEANNE MCKINNEY M.A. CCC-SLP
Provider Business Mailing Address
First Line : 2060 TRAEMOOR VILLAGE DR
Second Line :
City : NASHVILLE
State : TN
Zip : 37209-5054
Country : US
Telephone Number : 615-293-6455
Fax Number :
Provider Business Practice Location Address
First Line : 11 BURTON HILLS BLVD
Second Line :
City : NASHVILLE
State : TN
Zip : 37215-6156
Country : US
Telephone Number : 615-665-3748
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2007
Last Update Date : 03/12/2012

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