=====================================================
General NPI Number Information
=====================================================
NPI Number | 1245148766
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KAYLYN PRYOR
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/28/2026
-----------------------------------------------------
Last Update Date | 08/28/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3367 COUNTY ROAD 550
-----------------------------------------------------
City | FRANKFORT
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45628-9503
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 740-998-5293
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 522 GLENWOOD AVE
-----------------------------------------------------
City | NEW BOSTON
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45662-5505
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103TS0200X
-----------------------------------------------------
Taxonomy Name | School Psychologist
-----------------------------------------------------
License Number | LSP01394
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------