Individual
KYLYN JAIDE KECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2016 CORAL IVY LN, CHESAPEAKE, VA 23323-6371
(214) 681-2495
Mailing address
2016 CORAL IVY LN, CHESAPEAKE, VA 23323-6371
(214) 681-2495
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
121331
TX
235Z00000X
Speech-Language Pathologist
Primary
2202010438
VA
235Z00000X
Speech-Language Pathologist
5305
KS
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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