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NPI Code Detail

MEDICARE: MEREDITH KAY GWINN

MEDICARE: MEREDITH KAY GWINN
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 PathologistSLP-2756WV

General Provider Information

NPI Number : 1487540266
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEREDITH KAY GWINN
Provider Business Mailing Address
First Line : 223 DIVISION ST
Second Line :
City : SHADY SPRING
State : WV
Zip : 25918-8442
Country : US
Telephone Number : 304-228-6077
Fax Number :
Provider Business Practice Location Address
First Line : 122 12TH ST
Second Line :
City : PRINCETON
State : WV
Zip : 24740-2312
Country : US
Telephone Number : 304-487-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2025
Last Update Date : 04/16/2026

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Directions to “ MEREDITH KAY GWINN ” Practice Location

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