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NPI Code Detail

MEDICARE: KYLIE HOLSTED TEMPLET

MEDICARE: KYLIE HOLSTED TEMPLET
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 Pathologist118533TX

General Provider Information

NPI Number : 1811643521
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYLIE HOLSTED TEMPLET
Provider Business Mailing Address
First Line : 1515 JOHNSON FERRY RD
Second Line :
City : MARIETTA
State : GA
Zip : 30062-6492
Country : US
Telephone Number : 770-977-9457
Fax Number :
Provider Business Practice Location Address
First Line : 1515 JOHNSON FERRY RD
Second Line :
City : MARIETTA
State : GA
Zip : 30062-6492
Country : US
Telephone Number : 770-977-9457
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2022
Last Update Date : 02/04/2026

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Directions to “ KYLIE HOLSTED TEMPLET ” Practice Location

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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.

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