Organization
KBK SPEECH AND SWALLOWING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATY BETH KOPEC M.S., CCC-SLP (SPEECH PATHOLOGIST)
(806) 786-8849
Entity
Organization
Contact information
Practice address
5002 COUNTY ROAD 1435, LUBBOCK, TX 79407-5744
(806) 786-8849
Mailing address
5002 COUNTY ROAD 1435, LUBBOCK, TX 79407-5744
(806) 786-8849
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
19785
TX
261QH0700X
Hearing and Speech Clinic/Center
Primary
19785
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TXB158632
MEDICARE PTAN
TX
Enumeration date
03/16/2011
Last updated
07/09/2013
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