Provider Demographics
NPI:1235548462
Name:MOTE, KARA LAINE (MS, CF-SLP)
Entity Type:Individual
Prefix:MRS
First Name:KARA
Middle Name:LAINE
Last Name:MOTE
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1070
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72033-1070
Mailing Address - Country:US
Mailing Address - Phone:501-327-5583
Mailing Address - Fax:501-327-5620
Practice Address - Street 1:615 EAST ROBINS ST.
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72032
Practice Address - Country:US
Practice Address - Phone:501-327-5883
Practice Address - Fax:501-327-5620
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-13
Last Update Date:2015-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist