Provider Demographics
NPI:1740804210
Name:WINSHIP, KAYLI (MS SLP)
Entity Type:Individual
Prefix:
First Name:KAYLI
Middle Name:
Last Name:WINSHIP
Suffix:
Gender:F
Credentials:MS SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19120 E WILLIS RD
Mailing Address - Street 2:
Mailing Address - City:TAHLEQUAH
Mailing Address - State:OK
Mailing Address - Zip Code:74464-0561
Mailing Address - Country:US
Mailing Address - Phone:580-298-7171
Mailing Address - Fax:
Practice Address - Street 1:212 E FERRY ST
Practice Address - Street 2:
Practice Address - City:SALINA
Practice Address - State:OK
Practice Address - Zip Code:74365-2622
Practice Address - Country:US
Practice Address - Phone:918-434-5348
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-01
Last Update Date:2020-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist