Healthcare Provider Details

I. General information

NPI: 1245148766
Provider Name (Legal Business Name): KAYLYN PRYOR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3367 COUNTY ROAD 550
FRANKFORT OH
45628-9503
US

IV. Provider business mailing address

522 GLENWOOD AVE
NEW BOSTON OH
45662-5505
US

V. Phone/Fax

Practice location:
  • Phone: 740-998-5293
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberLSP01394
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: