Alexa Dupont | Fort Mitchell, KY • PECOS Search

Alexa Dupont

Speech-Language Pathologist

Speech, Language and Hearing Service Providers

71 Orphanage Rd, Fort Mitchell, KY 41017-3006

(859) 331-0880 (859) 802-7431

PECOS Enrollment

Based on the most recent information from CMS, provider Alexa Dupont does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1962806604
Provider Type
Individual
Full Name
Dupont, Alexa
Credential
M.S.

Gender
Female
Sole Proprietor
No
Enumeration Date
10/9/2014
Last Updated
10/9/2014

Contact Information

Practice Location

71 Orphanage Rd, Fort Mitchell, KY 41017-3006

Unlisted Fax

Mailing Location

267 Foote Ave, Bellevue, KY 41073-1218

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 235Z00000X Primary	Description Speech-Language Pathologist Speech, Language and Hearing Service Providers	License SLPINP00211714 Kentucky