Provider Demographics
NPI:1073376372
Name:HOSTETTER, KAYLEE
Entity Type:Individual
Prefix:
First Name:KAYLEE
Middle Name:
Last Name:HOSTETTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 W 4TH ST
Mailing Address - Street 2:
Mailing Address - City:ALMA
Mailing Address - State:MO
Mailing Address - Zip Code:64001-6905
Mailing Address - Country:US
Mailing Address - Phone:660-251-3548
Mailing Address - Fax:
Practice Address - Street 1:101 NW SNI A BAR PKWY
Practice Address - Street 2:
Practice Address - City:GRAIN VALLEY
Practice Address - State:MO
Practice Address - Zip Code:64029-7800
Practice Address - Country:US
Practice Address - Phone:816-847-5006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-31
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant