Individual
KAILIN CARRICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3314 KEDRON RD, SUITE A, SPRING HILL, TN 37174-2985
(800) 729-0976
(888) 794-0549
Mailing address
3314 KEDRON RD STE A, SPRING HILL, TN 37174-2986
(800) 729-0976
(888) 794-0549
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5375
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP5375
TENNESSEE STATE LICENSE
TN
Enumeration date
07/01/2016
Last updated
07/01/2016
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