Provider Demographics
NPI:1902514334
Name:HUGGINS, KYLIE ALEXANDER (AUD)
Entity type:Individual
Prefix:DR
First Name:KYLIE
Middle Name:ALEXANDER
Last Name:HUGGINS
Suffix:
Gender:
Credentials:AUD
Other - Prefix:MS
Other - First Name:KYLIE
Other - Middle Name:K
Other - Last Name:ALEXANDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1288 W MAIN ST STE 220
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75067-3467
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1320 SUMMER LEE DR
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75032-5453
Practice Address - Country:US
Practice Address - Phone:972-771-5443
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-15
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX81780231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist