MEDICARE: KANECIA DAY

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	SA22793	FL

General Provider Information

NPI Number	:	1649138504
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KANECIA DAY

Provider Business Mailing Address
First Line	:	7581 FALCON TRACE CT
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32222-2154
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1949 EASTWEST PKWY
Second Line	:
City	:	FLEMING ISLAND
State	:	FL
Zip	:	32003-6403
Country	:	US
Telephone Number	:	904-872-6685
Fax Number	:

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

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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Directions to “ KANECIA DAY ” Practice Location

Language	Start Address	Practice Location

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