MEDICARE: KAYLEE FRAATS

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	235Z00000X	Speech-Language Pathologist	37726	CA

General Provider Information

NPI Number	:	1518574524
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLEE FRAATS

Provider Business Mailing Address
First Line	:	3925 JUPITER AVE
Second Line	:
City	:	LOMPOC
State	:	CA
Zip	:	93436-1905
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 DYER ST
Second Line	:
City	:	ORCUTT
State	:	CA
Zip	:	93455-5300
Country	:	US
Telephone Number	:	805-938-8900
Fax Number	:

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

Provider Enumeration Date	:	09/24/2020
Last Update Date	:	05/01/2026

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Directions to “ KAYLEE FRAATS ” Practice Location

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