NPI 1023506078
Kaelyn Hales, MACCCSLP
Practice location
- Address
- 497 Horrocks Dr, Blackfoot, ID 83221-3453
- Phone
- (208) 541-1477
Registered specialties
Speech-Language Pathologist
Primary
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.