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NPI Code Detail

MEDICARE: KAYLEIGH BAYLESS

MEDICARE: KAYLEIGH BAYLESS
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
1235Z00000XSpeech-Language Pathologist113980TX

General Provider Information

NPI Number : 1548770654
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLEIGH BAYLESS
Provider Business Mailing Address
First Line : 722 VILLAGEBROOK
Second Line :
City : LIVINGSTON
State : TX
Zip : 77351-5991
Country : US
Telephone Number : 419-705-0112
Fax Number :
Provider Business Practice Location Address
First Line : 440 HIGHWAY 59 LOOP S STE 104
Second Line :
City : LIVINGSTON
State : TX
Zip : 77351-9011
Country : US
Telephone Number : 936-328-8148
Fax Number : 936-328-8148
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2017
Last Update Date : 10/12/2023

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Directions to “ KAYLEIGH BAYLESS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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