Provider Demographics
NPI:1275251019
Name:ALLMAN, KYLIE (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:KYLIE
Middle Name:
Last Name:ALLMAN
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:831 S FLORES ST STE 2313
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78204-1443
Mailing Address - Country:US
Mailing Address - Phone:210-412-0229
Mailing Address - Fax:
Practice Address - Street 1:6111 FOX CREEK ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78247-1154
Practice Address - Country:US
Practice Address - Phone:210-407-3441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-18
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX116149235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist