Provider Demographics
NPI:1427724129
Name:CHRISTIAN, KINSLEY (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:KINSLEY
Middle Name:
Last Name:CHRISTIAN
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:MRS
Other - First Name:KINSLEY
Other - Middle Name:
Other - Last Name:COX
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:2200 ROCKY BROOK RD
Mailing Address - Street 2:
Mailing Address - City:OPELIKA
Mailing Address - State:AL
Mailing Address - Zip Code:36801-2452
Mailing Address - Country:US
Mailing Address - Phone:205-441-3779
Mailing Address - Fax:
Practice Address - Street 1:643 WOODEN BRIDGE DR
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-7036
Practice Address - Country:US
Practice Address - Phone:334-524-2121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-21
Last Update Date:2022-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL14302939235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist