MEDICARE: KAREN KINSEY ENGELKE

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	101182	TX

General Provider Information

NPI Number	:	1588147177
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN KINSEY ENGELKE

Provider Business Mailing Address
First Line	:	415 HIGHWAY 377 S STE 200
Second Line	:
City	:	ARGYLE
State	:	TX
Zip	:	76226-5140
Country	:	US
Telephone Number	:	940-464-7010
Fax Number	:

Provider Business Practice Location Address
First Line	:	112 BARNETT DR
Second Line	:
City	:	HIGHLAND VILLAGE
State	:	TX
Zip	:	75077-3176
Country	:	US
Telephone Number	:	972-317-1175
Fax Number	:

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

Provider Enumeration Date	:	09/11/2018
Last Update Date	:	09/11/2018

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Directions to “ KAREN KINSEY ENGELKE ” Practice Location

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