Provider Demographics
NPI:1003041542
Name:KAIL, KOLBY MICHELLE (MS CCC-SLP, COM)
Entity Type:Individual
Prefix:
First Name:KOLBY
Middle Name:MICHELLE
Last Name:KAIL
Suffix:
Gender:F
Credentials:MS CCC-SLP, COM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2624 EL CAMINO REAL STE B
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-1250
Mailing Address - Country:US
Mailing Address - Phone:760-274-3575
Mailing Address - Fax:760-274-3575
Practice Address - Street 1:2624 EL CAMINO REAL STE B
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-1250
Practice Address - Country:US
Practice Address - Phone:760-696-3456
Practice Address - Fax:760-696-3458
Is Sole Proprietor?:No
Enumeration Date:2009-05-28
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist