Provider Demographics
NPI:1356093264
Name:GEYER, KAYLEE N (BAT)
Entity Type:Individual
Prefix:MRS
First Name:KAYLEE
Middle Name:N
Last Name:GEYER
Suffix:
Gender:F
Credentials:BAT
Other - Prefix:
Other - First Name:KAYLEE
Other - Middle Name:N
Other - Last Name:FILIP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BAT
Mailing Address - Street 1:376 E APPLE AVE
Mailing Address - Street 2:
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49442-3466
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:376 E APPLE AVE
Practice Address - Street 2:
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49442-3466
Practice Address - Country:US
Practice Address - Phone:231-724-1111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-21
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician