Individual
KAILEE KICINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
1401 S RIDGE AVE, 1401 S RIDGE AVE, KANNAPOLIS, NC 28083-6056
(980) 242-0690
Mailing address
55203 KILKENNY WAY # 55203, KANNAPOLIS, NC 28081-0047
(704) 224-3797
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
30004163
NC
Other
Enumeration date
07/11/2025
Last updated
11/04/2025
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