Healthcare Provider Details

I. General information

NPI: 1669302329
Provider Name (Legal Business Name): KYLIE ROSE DUNN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 PACIFIC ST
MONTEREY CA
93940-2815
US

IV. Provider business mailing address

27 QUENDALE AVE
MONTEREY CA
93940-5546
US

V. Phone/Fax

Practice location:
  • Phone: 831-645-1200
  • Fax:
Mailing address:
  • Phone: 530-574-5226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number30407
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: