Provider Demographics
NPI:1134572050
Name:LOSEY, KAITLYN (MS)
Entity type:Individual
Prefix:
First Name:KAITLYN
Middle Name:
Last Name:LOSEY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:KAITLYN
Other - Middle Name:
Other - Last Name:TURNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9041 EXECUTIVE PARK DRIVE
Mailing Address - Street 2:SUITE 126
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-4690
Mailing Address - Country:US
Mailing Address - Phone:731-445-7774
Mailing Address - Fax:
Practice Address - Street 1:714 S LAKE DR STE 150
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-3473
Practice Address - Country:US
Practice Address - Phone:803-356-4782
Practice Address - Fax:803-996-4782
Is Sole Proprietor?:No
Enumeration Date:2016-07-15
Last Update Date:2019-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5927235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist