MEDICARE: DR. KAYLYNN ELAINE NEWBY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	124214	TX

General Provider Information

NPI Number	:	1487416103
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAYLYNN ELAINE NEWBY

Provider Business Mailing Address
First Line	:	2670 HOLLY HALL ST APT I
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-4192
Country	:	US
Telephone Number	:	216-904-0264
Fax Number	:

Provider Business Practice Location Address
First Line	:	1120 NASA PKWY STE 320
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-3366
Country	:	US
Telephone Number	:	346-677-0150
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2024
Last Update Date	:	01/29/2024

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Directions to “ DR. KAYLYNN ELAINE NEWBY ” Practice Location

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