Healthcare Provider Details

I. General information

NPI: 1790600831
Provider Name (Legal Business Name): KAYCEE KNAPP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1810 MAPLE AVE
HURON OH
44839-1261
US

IV. Provider business mailing address

4918 MILAN RD
SANDUSKY OH
44870-5842
US

V. Phone/Fax

Practice location:
  • Phone: 419-433-4870
  • Fax:
Mailing address:
  • Phone: 419-627-3900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: