Provider Demographics
NPI:1376271387
Name:BRIGGS, KAELYNN (AUD)
Entity Type:Individual
Prefix:
First Name:KAELYNN
Middle Name:
Last Name:BRIGGS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 CANAL LANDING BLVD STE 3
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14626-5108
Mailing Address - Country:US
Mailing Address - Phone:585-723-3440
Mailing Address - Fax:585-735-4632
Practice Address - Street 1:103 CANAL LANDING BLVD STE 3
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14626-5108
Practice Address - Country:US
Practice Address - Phone:585-723-3440
Practice Address - Fax:585-735-4632
Is Sole Proprietor?:No
Enumeration Date:2022-08-09
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist