Healthcare Provider Details

I. General information

NPI: 1437071735
Provider Name (Legal Business Name): KYLEIGH MARIE VIOLA CLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

251 E 9TH ST
ASHLAND OH
44805-1807
US

IV. Provider business mailing address

251 E 9TH ST
ASHLAND OH
44805-1807
US

V. Phone/Fax

Practice location:
  • Phone: 419-606-6733
  • Fax:
Mailing address:
  • Phone: 419-606-6733
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number364676
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: