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NPI Code Detail

MEDICARE: TAYLOR KRAFT M.S.-CCC

MEDICARE: TAYLOR KRAFT M.S.-CCC
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 Pathologist118404TX

General Provider Information

NPI Number : 1891464012
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR KRAFT M.S.-CCC
Provider Business Mailing Address
First Line : 858 CANTERBURY DR
Second Line :
City : ROCKWALL
State : TX
Zip : 75032-5853
Country : US
Telephone Number : 972-672-6602
Fax Number :
Provider Business Practice Location Address
First Line : 1820 PEARL ST BLDG C
Second Line :
City : CARROLLTON
State : TX
Zip : 75006-6120
Country : US
Telephone Number : 972-968-5833
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2021
Last Update Date : 09/10/2021

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Directions to “ TAYLOR KRAFT M.S.-CCC” Practice Location

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