Provider Demographics
NPI:1295303592
Name:HOWARD, KAILA (AUD)
Entity type:Individual
Prefix:
First Name:KAILA
Middle Name:
Last Name:HOWARD
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 SOUTHTOWN BLVD
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42303-0990
Mailing Address - Country:US
Mailing Address - Phone:866-284-8788
Mailing Address - Fax:
Practice Address - Street 1:300 SOUTHTOWN BLVD
Practice Address - Street 2:SUITE 2A
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303-0990
Practice Address - Country:US
Practice Address - Phone:866-284-8788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-14
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY271035231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist