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NPI Code Detail

MEDICARE: MRS. KALEE JONES PEAK MCD, CCC-SLP

MEDICARE: MRS. KALEE JONES PEAK MCD, 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 Pathologist

General Provider Information

NPI Number : 1790926996
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KALEE JONES PEAK MCD, CCC-SLP
Provider Business Mailing Address
First Line : 2308 DEERWOOD DR
Second Line :
City : NASHVILLE
State : TN
Zip : 37214-2722
Country : US
Telephone Number : 334-412-1423
Fax Number :
Provider Business Practice Location Address
First Line : 2601 BRANSFORD AVE
Second Line :
City : NASHVILLE
State : TN
Zip : 37204-2811
Country : US
Telephone Number : 615-259-4636
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2009
Last Update Date : 01/29/2015

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Directions to “ MRS. KALEE JONES PEAK MCD, CCC-SLP” Practice Location

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