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NPI Code Detail

MEDICARE: EMMA KATE CALVERT M.S. CCC-SLP

MEDICARE: EMMA KATE CALVERT M.S. 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
2235Z00000XSpeech-Language Pathologist264798KY
3235Z00000XSpeech-Language Pathologist7189TN
4235Z00000XSpeech-Language Pathologist272726KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851900807
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMA KATE CALVERT M.S. CCC-SLP
Provider Business Mailing Address
First Line : 90 HOWARD DR
Second Line :
City : SHELBYVILLE
State : KY
Zip : 40065-8138
Country : US
Telephone Number : 502-633-1007
Fax Number :
Provider Business Practice Location Address
First Line : 261 RUCCIO WAY STE 190
Second Line :
City : LEXINGTON
State : KY
Zip : 40503-3566
Country : US
Telephone Number : 859-279-0252
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2020
Last Update Date : 03/28/2023

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