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NPI Code Detail

MEDICARE: KYLEIGH TROUT

MEDICARE: KYLEIGH TROUT
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 : 1922678135
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYLEIGH TROUT
Provider Business Mailing Address
First Line : 1214 NATIONAL AVE
Second Line :
City : LAS VEGAS
State : NM
Zip : 87701-4033
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1214 NATIONAL AVE
Second Line :
City : LAS VEGAS
State : NM
Zip : 87701-4033
Country : US
Telephone Number : 505-426-8095
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2021
Last Update Date : 06/29/2021

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Directions to “ KYLEIGH TROUT ” Practice Location

Language Start Address Practice Location
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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