Provider Demographics
NPI:1912317314
Name:YARNELL SEARLES, KAILEY ERIN (COTA)
Entity Type:Individual
Prefix:MRS
First Name:KAILEY
Middle Name:ERIN
Last Name:YARNELL SEARLES
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:KAILEY
Other - Middle Name:ERIN
Other - Last Name:YARNELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COTA
Mailing Address - Street 1:7819 CONSER PLACE
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66204
Mailing Address - Country:US
Mailing Address - Phone:913-789-9900
Mailing Address - Fax:913-789-9170
Practice Address - Street 1:7819 CONSER PLACE
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66204
Practice Address - Country:US
Practice Address - Phone:913-789-9900
Practice Address - Fax:913-789-9170
Is Sole Proprietor?:No
Enumeration Date:2014-05-07
Last Update Date:2014-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS18-00913224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant