Healthcare Provider Details

I. General information

NPI: 1881500791
Provider Name (Legal Business Name): KAILEY RENE OLINGER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

313 S 5TH ST
ODESSA DE
19730-2078
US

IV. Provider business mailing address

313 S 5TH ST
ODESSA DE
19730-2078
US

V. Phone/Fax

Practice location:
  • Phone: 302-696-3120
  • Fax:
Mailing address:
  • Phone: 302-373-7758
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number14492445
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: