Provider Demographics
NPI:1952089773
Name:ZOULEK, KAYLA MARY (HIS)
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:MARY
Last Name:ZOULEK
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1014 S MILL ST STE 7
Mailing Address - Street 2:
Mailing Address - City:DECORAH
Mailing Address - State:IA
Mailing Address - Zip Code:52101-2461
Mailing Address - Country:US
Mailing Address - Phone:563-382-4807
Mailing Address - Fax:
Practice Address - Street 1:1014 S MILL ST STE 7
Practice Address - Street 2:
Practice Address - City:DECORAH
Practice Address - State:IA
Practice Address - Zip Code:52101-2461
Practice Address - Country:US
Practice Address - Phone:563-382-4807
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-11
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA111370237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist