Provider Demographics
NPI:1144741380
Name:ADAMS, KAYLA MARIE
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:MARIE
Last Name:ADAMS
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 1:2625 US HIGHWAY 278 W
Mailing Address - Street 2:
Mailing Address - City:BANKS
Mailing Address - State:AR
Mailing Address - Zip Code:71631-9201
Mailing Address - Country:US
Mailing Address - Phone:870-820-9155
Mailing Address - Fax:
Practice Address - Street 1:1060 ROLLING HILLS DR
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:AR
Practice Address - Zip Code:71701-5542
Practice Address - Country:US
Practice Address - Phone:870-820-9155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-28
Last Update Date:2017-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist