Provider Demographics
NPI:1851050389
Name:KULHAVY, KALYNN BREITLING (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:KALYNN
Middle Name:BREITLING
Last Name:KULHAVY
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 TENNESSEE AVE
Mailing Address - Street 2:
Mailing Address - City:DALHART
Mailing Address - State:TX
Mailing Address - Zip Code:79022-5137
Mailing Address - Country:US
Mailing Address - Phone:806-244-7350
Mailing Address - Fax:
Practice Address - Street 1:1401 TENNESSEE AVE
Practice Address - Street 2:
Practice Address - City:DALHART
Practice Address - State:TX
Practice Address - Zip Code:79022-5137
Practice Address - Country:US
Practice Address - Phone:806-244-7350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-13
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX106085235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist