Organization
BLUEGRASS FIBEROPTIC ENDOSCOOIC EVALUATION OF SWALLOWING (FEES)
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FATIMA WARREN MS CCC-SLP (OWNER/PRACTITIONER)
(202) 378-0547
Entity
Organization
Contact information
Practice address
171 N EAGLE CREEK DR STE 102, LEXINGTON, KY 40509-1801
(202) 378-0547
Mailing address
404 HOLLOW CREEK RD APT 24, LEXINGTON, KY 40511-1708
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
140628
KY
Other
Enumeration date
01/26/2018
Last updated
01/26/2018
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