Provider Demographics
NPI:1013537372
Name:KITTINGER, KAYLA DIANE (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:DIANE
Last Name:KITTINGER
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 1:4004 PINE GROVE RD
Mailing Address - Street 2:
Mailing Address - City:VERSAILLES
Mailing Address - State:KY
Mailing Address - Zip Code:40383-9254
Mailing Address - Country:US
Mailing Address - Phone:859-753-4543
Mailing Address - Fax:
Practice Address - Street 1:202 FRANKFORT ST STE 103&104
Practice Address - Street 2:
Practice Address - City:VERSAILLES
Practice Address - State:KY
Practice Address - Zip Code:40383-1000
Practice Address - Country:US
Practice Address - Phone:859-212-9705
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-16
Last Update Date:2025-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY263183235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist