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NPI Code Detail

MEDICARE: KAYLEE KILCOYNE M.A., CCC-SLP

MEDICARE:   KAYLEE  KILCOYNE  M.A., CCC-SLP
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 Pathologist7101009844MI

General Provider Information

NPI Number : 1598610990
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLEE KILCOYNE M.A., CCC-SLP
Provider Business Mailing Address
First Line : 560 BELLEVUE AVE
Second Line :
City : LAKE ORION
State : MI
Zip : 48362-2713
Country : US
Telephone Number : 586-996-8649
Fax Number :
Provider Business Practice Location Address
First Line : 2222 N LAPEER RD
Second Line :
City : LAPEER
State : MI
Zip : 48446-8619
Country : US
Telephone Number : 810-358-0373
Fax Number : 810-553-9111
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2026
Last Update Date : 03/02/2026

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Directions to “ KAYLEE KILCOYNE M.A., CCC-SLP” Practice Location

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