Healthcare Provider Details
I. General information
NPI: 1730922923
Provider Name (Legal Business Name): KAILEY HALPIN AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/14/2024
Last Update Date: 03/20/2025
Certification Date: 03/20/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5750 BALCONES DR STE 200
AUSTIN TX
78731-4268
US
IV. Provider business mailing address
3705 MEDICAL PKWY STE 320
AUSTIN TX
78705-1023
US
V. Phone/Fax
- Phone: 512-836-8786
- Fax:
- Phone: 512-454-1873
- Fax: 512-371-7098
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | 81602 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: