Healthcare Provider Details

I. General information

NPI: 1902582331
Provider Name (Legal Business Name): KAYLEY KIEHN DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KAYLEY SWINTON DPT

II. Dates (important events)

Enumeration Date: 06/22/2023
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 DALTON STREET
HAINES AK
99827
US

IV. Provider business mailing address

PO BOX 1054
HAINES AK
99827-1054
US

V. Phone/Fax

Practice location:
  • Phone: 907-766-6390
  • Fax:
Mailing address:
  • Phone: 907-314-3337
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTP-PT-LIC-27073
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number254185
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: