Healthcare Provider Details

I. General information

NPI: 1063342483
Provider Name (Legal Business Name): KAY GRAIN SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAY HEININGER

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5454 ROCKY RIVER RD
CONCORD NC
28025-8844
US

IV. Provider business mailing address

13200 BALLARA PL
HUNTERSVILLE NC
28078-7336
US

V. Phone/Fax

Practice location:
  • Phone: 704-260-6290
  • Fax:
Mailing address:
  • Phone: 704-763-6751
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number6759
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: