MEDICARE: KARA LYNCH M.S.

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	SLP.4782 SPIN	SC

General Provider Information

NPI Number	:	1619277142
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARA LYNCH M.S.

Provider Business Mailing Address
First Line	:	8703 HIGHWAY 17 BYP S
Second Line	:	SUITE I
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29575-7701
Country	:	US
Telephone Number	:	843-457-1053
Fax Number	:

Provider Business Practice Location Address
First Line	:	8703 HIGHWAY 17 BYP S
Second Line	:	SUITE I
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29575-7701
Country	:	US
Telephone Number	:	843-457-1053
Fax Number	:

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

Provider Enumeration Date	:	11/01/2010
Last Update Date	:	11/01/2010

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Directions to “ KARA LYNCH M.S.” Practice Location

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