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NPI Code Detail

MEDICARE: KYLE P SWANSON

MEDICARE: KYLE P SWANSON
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 : 1437610938
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYLE P SWANSON
Provider Business Mailing Address
First Line : 5021 NE 178TH ST
Second Line :
City : LAKE FOREST PARK
State : WA
Zip : 98155-4534
Country : US
Telephone Number : 206-437-2951
Fax Number :
Provider Business Practice Location Address
First Line : 151 BUENA VISTA DR
Second Line :
City : COLVILLE
State : WA
Zip : 99114-8676
Country : US
Telephone Number : 509-684-4539
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2019
Last Update Date : 03/27/2019

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Directions to “ KYLE P SWANSON ” 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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