# KAELAN MYLO HENMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1649813130
- **Gender:** Man
- **Credential:** SLP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | 7101005768 | — | — |
| 235Z00000X | Speech-Language Pathologist | SP.13402 | OH | Yes |

## Other

- **Enumeration date:** 10/28/2019
- **Last updated:** 05/12/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 7101005768 | LICENSE | MI |
| 01 | — | SP.13402 | LICENSE | OH |