Provider Demographics
NPI:1386202950
Name:URANO, KAITLYNN NAOKO (AUD)
Entity Type:Individual
Prefix:
First Name:KAITLYNN
Middle Name:NAOKO
Last Name:URANO
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:KAITLYNN
Other - Middle Name:NAOKO
Other - Last Name:LOFTHOUSE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:AUD
Mailing Address - Street 1:98 N 1100 E STE 203
Mailing Address - Street 2:
Mailing Address - City:AMERICAN FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84003-2941
Mailing Address - Country:US
Mailing Address - Phone:319-936-3294
Mailing Address - Fax:
Practice Address - Street 1:98 N 1100 E STE 203
Practice Address - Street 2:
Practice Address - City:AMERICAN FORK
Practice Address - State:UT
Practice Address - Zip Code:84003-2941
Practice Address - Country:US
Practice Address - Phone:319-936-3294
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-30
Last Update Date:2019-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT11288009-4101231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist