Healthcare Provider Details

I. General information

NPI: 1609799220
Provider Name (Legal Business Name): KAYLIE ARNOLD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 E OTTAWA ST
OAK HARBOR OH
43449-1458
US

IV. Provider business mailing address

10148 DESMOND PL
PERRYSBURG OH
43551-7204
US

V. Phone/Fax

Practice location:
  • Phone: 419-898-6219
  • Fax:
Mailing address:
  • Phone: 419-460-8995
  • Fax: 419-460-8995

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP.16977
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: