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NPI Code Detail

MEDICARE: MRS. KATHLEEN DENISE KING SLP/CCC

MEDICARE:  MRS. KATHLEEN DENISE KING  SLP/CCC
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 Pathologist006737-1NY

General Provider Information

NPI Number : 1629377783
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATHLEEN DENISE KING SLP/CCC
Provider Business Mailing Address
First Line : 14128 255TH ST
Second Line :
City : ROSEDALE
State : NY
Zip : 11422-2642
Country : US
Telephone Number : 718-949-9238
Fax Number :
Provider Business Practice Location Address
First Line : 29-01 216TH STREET
Second Line : ST. MARY'S HOSPITAL FOR CHILDREN
City : BAYSIDE
State : NY
Zip : 11360-2899
Country : US
Telephone Number : 718-281-8500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2011
Last Update Date : 03/15/2011

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Directions to “ MRS. KATHLEEN DENISE KING SLP/CCC” 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.