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NPI Code Detail

MEDICARE: KEVIN UGARTE

MEDICARE: KEVIN UGARTE
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 : 1548109655
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN UGARTE
Provider Business Mailing Address
First Line : 1035 MADISON PLACE CIR
Second Line :
City : KERNERSVILLE
State : NC
Zip : 27284-7756
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 475 CORPORATE SQUARE DR
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27105-9100
Country : US
Telephone Number : 336-727-2816
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2026
Last Update Date : 03/25/2026

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Directions to “ KEVIN UGARTE ” Practice Location

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