Kaylee Anderson
Individual provider Active NPI Speech-Language Pathologist · Sikeston, MO
NPI 1144008145 · NPPES record last updated Sep 20, 2023
Key facts
- NPI
- 1144008145
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2023038271 (MO)
- Practice address
- 20794 US Highway 61
Sikeston, MO 63801-7260 - Phone
- (573) 471-3511
- NPI assigned
- Sep 20, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023038271 | MO | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2023038271 | MO | Yes |
Addresses
Primary practice location
20794 US Highway 61
Sikeston, MO 63801-7260
Mailing address
20794 US Highway 61
Sikeston, MO 63801-7260
Phone (573) 471-3511
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All providers in Sikeston, MO · Speech-Language Pathologist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.