Provider Demographics
NPI:1295130680
Name:MACKEY, KAYLA HELMS (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:HELMS
Last Name:MACKEY
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 1:113 SYCAMORE DR
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:SC
Mailing Address - Zip Code:29720-0119
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:410 BRIDLE PATH FARM RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:NC
Practice Address - Zip Code:27013-8157
Practice Address - Country:US
Practice Address - Phone:704-380-0799
Practice Address - Fax:704-278-0146
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-27
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist