Provider Demographics
NPI:1265041677
Name:BELL, KAYLEE NICOLE (MA)
Entity Type:Individual
Prefix:
First Name:KAYLEE
Middle Name:NICOLE
Last Name:BELL
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:KAYLEE
Other - Middle Name:NICOLE
Other - Last Name:MCNIEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:605 HICKORY LN
Mailing Address - Street 2:
Mailing Address - City:HARLAN
Mailing Address - State:KY
Mailing Address - Zip Code:40831-2000
Mailing Address - Country:US
Mailing Address - Phone:606-273-6372
Mailing Address - Fax:
Practice Address - Street 1:176 SCHOOL HOUSE RIDGE RD
Practice Address - Street 2:
Practice Address - City:DRYDEN
Practice Address - State:VA
Practice Address - Zip Code:24243-8359
Practice Address - Country:US
Practice Address - Phone:276-546-4443
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-31
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2204000570235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist