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NPI Code Detail

MEDICARE: MRS. PAMELA L KEUP SLP

MEDICARE:  MRS. PAMELA L KEUP  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 PathologistSLP 4324AZ

General Provider Information

NPI Number : 1952433245
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PAMELA L KEUP SLP
Provider Business Mailing Address
First Line : PSC 561 BOX 1546
Second Line :
City : FPO
State : AP
Zip : 96310
Country : US
Telephone Number : 11-818-2779
Fax Number :
Provider Business Practice Location Address
First Line : PSC 561 BOX 1546
Second Line :
City : FPO
State : AP
Zip : 96310
Country : US
Telephone Number : 11-818-2779
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2007
Last Update Date : 04/20/2008

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Directions to “ MRS. PAMELA L KEUP SLP” 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.