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NPI Code Detail

MEDICARE: KAITLYN ELIZABETH WHITE SLPA

MEDICARE: KAITLYN ELIZABETH WHITE SLPA
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
12355S0801XSpeech-Language Assistant

General Provider Information

NPI Number : 1548091390
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLYN ELIZABETH WHITE SLPA
Provider Business Mailing Address
First Line : 1061 S SUN DR STE 1089
Second Line :
City : LAKE MARY
State : FL
Zip : 32746-6169
Country : US
Telephone Number : 407-323-6955
Fax Number :
Provider Business Practice Location Address
First Line : 1061 S SUN DR STE 1089
Second Line :
City : LAKE MARY
State : FL
Zip : 32746-6169
Country : US
Telephone Number : 407-323-6955
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2024
Last Update Date : 08/13/2024

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Directions to “ KAITLYN ELIZABETH WHITE SLPA” Practice Location

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