Individual
KAITLYN P MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CF-SLP
Contact information
Practice address
1400 N 6TH AVE STE D4, KNOXVILLE, TN 37917-6043
(865) 214-7384
Mailing address
PO BOX 27716, KNOXVILLE, TN 37927-7716
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
199216295
GROUP NPI
—
Enumeration date
09/27/2022
Last updated
09/27/2022
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