Provider Demographics
NPI:1891261715
Name:EPPEL, KAYLA MARIE (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:KAYLA
Middle Name:MARIE
Last Name:EPPEL
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:326 E 103RD ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114-4736
Mailing Address - Country:US
Mailing Address - Phone:816-612-4000
Mailing Address - Fax:816-612-4080
Practice Address - Street 1:326 E 103RD ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-4736
Practice Address - Country:US
Practice Address - Phone:816-612-4000
Practice Address - Fax:816-612-4080
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-18
Last Update Date:2019-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2018017200235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist