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NPI Code Detail

MEDICARE: ASHTON KARRICK

MEDICARE: ASHTON KARRICK
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 Pathologist073901IA

General Provider Information

NPI Number : 1750770368
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHTON KARRICK
Provider Business Mailing Address
First Line : 22 N 27TH ST
Second Line :
City : FORT DODGE
State : IA
Zip : 50501-4331
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 22 N 27TH ST
Second Line :
City : FORT DODGE
State : IA
Zip : 50501-4331
Country : US
Telephone Number : 151-572-7875
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2015
Last Update Date : 02/21/2024

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Directions to “ ASHTON KARRICK ” Practice Location

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