MEDICARE: MRS. KATHRYN L BURNS SANDERS

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
1	235Z00000X	Speech-Language Pathologist	SP.6903	OH

General Provider Information

NPI Number	:	1548672918
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATHRYN L BURNS SANDERS

Provider Business Mailing Address
First Line	:	7981 PINEMEADOW LN
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45224-1227
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11961 CHESTERDALE RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45246-2037
Country	:	US
Telephone Number	:	513-864-1471
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2014
Last Update Date	:	05/20/2014

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Directions to “ MRS. KATHRYN L BURNS SANDERS ” Practice Location

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