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NPI Code Detail

MEDICARE: KAITLYN KRISTI PHIPPS

MEDICARE: KAITLYN KRISTI PHIPPS
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 PathologistSA21731FL

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 : 1992431423
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLYN KRISTI PHIPPS
Provider Business Mailing Address
First Line : 1207 SW 123RD AVE
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33025-3786
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1140 7TH CT
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-5706
Country : US
Telephone Number : 954-235-2958
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2022
Last Update Date : 03/09/2026

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Directions to “ KAITLYN KRISTI PHIPPS ” 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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