Provider Demographics
NPI:1265909014
Name:KAUFMAN, KHLOE LAYO (AUD)
Entity type:Individual
Prefix:
First Name:KHLOE
Middle Name:LAYO
Last Name:KAUFMAN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:KHLOE
Other - Middle Name:MARIE
Other - Last Name:LAYO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:900 RYLAND ST
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-1605
Mailing Address - Country:US
Mailing Address - Phone:775-329-7017
Mailing Address - Fax:775-323-0749
Practice Address - Street 1:900 RYLAND ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-1605
Practice Address - Country:US
Practice Address - Phone:775-329-7017
Practice Address - Fax:775-323-0749
Is Sole Proprietor?:No
Enumeration Date:2018-10-30
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVA-2464231H00000X
231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist