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Organization

BLUEGRASS SPEECH & SWALLOWING OUTPATIENT THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KAILYN BAKER CCC-SLP (OWNER/SPEECH LANGUAGE PATHOLOGIST)
(606) 309-4982
Entity
Organization

Contact information

Practice address
202 W 7TH ST STE 203, LONDON, KY 40741-1763
(606) 309-4982
Mailing address
452 BRANNON MILL RD, LILY, KY 40740-3504
(606) 309-4982

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
225200000X
Physical Therapy Assistant
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
07/28/2025
Last updated
07/28/2025
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