Provider Demographics
NPI:1841743515
Name:MARKLE, KALI LEANNE (AUD)
Entity Type:Individual
Prefix:
First Name:KALI
Middle Name:LEANNE
Last Name:MARKLE
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 1:6410 OLD MAIN HL
Mailing Address - Street 2:
Mailing Address - City:LOGAN
Mailing Address - State:UT
Mailing Address - Zip Code:84322-2620
Mailing Address - Country:US
Mailing Address - Phone:435-797-1346
Mailing Address - Fax:844-308-5865
Practice Address - Street 1:2620 OLD MAIN HL
Practice Address - Street 2:
Practice Address - City:LOGAN
Practice Address - State:UT
Practice Address - Zip Code:84322
Practice Address - Country:US
Practice Address - Phone:435-797-9234
Practice Address - Fax:435-797-7519
Is Sole Proprietor?:No
Enumeration Date:2016-07-29
Last Update Date:2018-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9717231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist