Provider Demographics
NPI:1922481126
Name:MCKAY, KAYLA ELAINE (AUD, CCC-A)
Entity Type:Individual
Prefix:DR
First Name:KAYLA
Middle Name:ELAINE
Last Name:MCKAY
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8019 E MARKET ST
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44484-2229
Mailing Address - Country:US
Mailing Address - Phone:330-372-4500
Mailing Address - Fax:330-372-4540
Practice Address - Street 1:8019 E MARKET ST
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44484-2229
Practice Address - Country:US
Practice Address - Phone:330-372-4500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-07
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA.01914231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHA.01914OtherAUDIOLOGY LICENSE