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NPI Code Detail

MEDICARE: STEPHANIE KARDOS

MEDICARE: STEPHANIE KARDOS
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 PathologistSP7917OH

General Provider Information

NPI Number : 1942323266
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE KARDOS
Provider Business Mailing Address
First Line : 4031 GLENWOOD AVE APT 22
Second Line :
City : BOARDMAN
State : OH
Zip : 44512-1044
Country : US
Telephone Number : 724-730-3381
Fax Number :
Provider Business Practice Location Address
First Line : 2675 N LIPKEY RD
Second Line :
City : NORTH JACKSON
State : OH
Zip : 44451-9665
Country : US
Telephone Number : 330-538-6228
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2007
Last Update Date : 07/08/2007

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Directions to “ STEPHANIE KARDOS ” Practice Location

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