Provider Demographics
NPI:1811462831
Name:ASBURY, KAILYN (SLP)
Entity type:Individual
Prefix:
First Name:KAILYN
Middle Name:
Last Name:ASBURY
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 E. CARROLL ST.
Mailing Address - Street 2:PRMC DEPT OF PHYSICAL MEDICINE
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801
Mailing Address - Country:US
Mailing Address - Phone:410-543-7522
Mailing Address - Fax:
Practice Address - Street 1:100 E. CARROLL ST.
Practice Address - Street 2:PRMC DEPT OF PHYSICAL MEDICINE
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801
Practice Address - Country:US
Practice Address - Phone:410-543-7522
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-05
Last Update Date:2018-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD08496163WC1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff Development