MEDICARE: MS. KAYE EARLINE STROM AULGUR PHD, C.C.C.-S.L.P.

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	694	OK

General Provider Information

NPI Number	:	1740388065
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KAYE EARLINE STROM AULGUR PHD, C.C.C.-S.L.P.

Provider Business Mailing Address
First Line	:	4718 N. BUSHCREEK RD.
Second Line	:
City	:	STILLWATER
State	:	OK
Zip	:	74075
Country	:	US
Telephone Number	:	405-372-6633
Fax Number	:

Provider Business Practice Location Address
First Line	:	042 MURRAY
Second Line	:
City	:	STILLWATER
State	:	OK
Zip	:	74078-5062
Country	:	US
Telephone Number	:	405-744-6021
Fax Number	:	405-744-8070

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

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	03/26/2014

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