Provider Demographics
NPI:1386329431
Name:COMBS, KYLEE (SLP)
Entity type:Individual
Prefix:
First Name:KYLEE
Middle Name:
Last Name:COMBS
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 CALUMET DR APT 6
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-3203
Mailing Address - Country:US
Mailing Address - Phone:594-860-0508
Mailing Address - Fax:
Practice Address - Street 1:213 CALUMET DR APT 6
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-3203
Practice Address - Country:US
Practice Address - Phone:859-486-0050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-16
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY291626235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist