Provider Demographics
NPI:1861626202
Name:LEPONE, KYRA (MA, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:KYRA
Middle Name:
Last Name:LEPONE
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:KYRA
Other - Middle Name:
Other - Last Name:MITCHELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:8100 MIDCOUNTY HWY
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20877-5100
Mailing Address - Country:US
Mailing Address - Phone:301-947-6000
Mailing Address - Fax:
Practice Address - Street 1:8100 MIDCOUNTY HWY
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-5100
Practice Address - Country:US
Practice Address - Phone:301-947-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-13
Last Update Date:2019-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202005309235Z00000X
MD06949235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist