Whalio Doctors

NPI 1023506078

Kaelyn Hales, MACCCSLP

Practitioner Speech-Language Pathologist Blackfoot, ID

Practice location

Address
497 Horrocks Dr, Blackfoot, ID 83221-3453
Phone
(208) 541-1477

Registered specialties

Speech-Language Pathologist Primary
Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence SLP-2286 (ID)

Registry record

NPI
1023506078
Entity type
Individual
Sex (as registered)
Female
NPI issued
25 Apr 2018
Record last updated
25 Apr 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.