Kayla Renee McDowell
Individual provider Active NPI Developmental Therapist · Magnolia, KY
NPI 1750688552 · NPPES record last updated Feb 15, 2011
Key facts
- NPI
- 1750688552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 125 Mary Way Dr
Magnolia, KY 42757-7835 - Phone
- (270) 735-6531
- NPI assigned
- Feb 15, 2011
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Yes |
Addresses
Primary practice location
125 Mary Way Dr
Magnolia, KY 42757-7835
Mailing address
125 Mary Way Dr
Magnolia, KY 42757-7835
Phone (270) 735-6531
Other providers in Magnolia, KY
- Family Care Center Magnolia
- April M Hanck
- Crystal Joseph
- Sarah Nunn
- Playful Learning Interventions LLC
- Mallory Sullivan
- Misty Wease
All providers in Magnolia, KY · Developmental Therapist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2011. 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.