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NPI Code Detail

MEDICARE: KENDRA CAYWOOD M.A., CCC-SLP

MEDICARE: KENDRA CAYWOOD M.A., CCC-SLP
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 Pathologist9058MN
2235Z00000XSpeech-Language PathologistSA 13289FL

General Provider Information

NPI Number : 1619365574
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENDRA CAYWOOD M.A., CCC-SLP
Provider Business Mailing Address
First Line : 129 GLEASON RD
Second Line :
City : DULUTH
State : MN
Zip : 55810-4509
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1601 SAINT LOUIS AVE
Second Line :
City : DULUTH
State : MN
Zip : 55802-2442
Country : US
Telephone Number : 218-727-8651
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2014
Last Update Date : 12/30/2014

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Directions to “ KENDRA CAYWOOD M.A., CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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