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NPI Code Detail

MEDICARE: AMANDA KALKBRENNER SLP

MEDICARE: AMANDA KALKBRENNER 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 PathologistSP.14250OH

General Provider Information

NPI Number : 1720649304
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA KALKBRENNER SLP
Provider Business Mailing Address
First Line : 2266 SALT SPRINGS RD
Second Line :
City : MC DONALD
State : OH
Zip : 44437-1114
Country : US
Telephone Number :
Fax Number : 216-927-1801
Provider Business Practice Location Address
First Line : 3570 WARRENSVILLE CENTER RD STE 106
Second Line :
City : SHAKER HTS
State : OH
Zip : 44122-5226
Country : US
Telephone Number : 330-629-8835
Fax Number : 330-629-8836
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2019
Last Update Date : 06/13/2025

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Directions to “ AMANDA KALKBRENNER SLP” Practice Location

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