Individual
KAYCIE VB KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
4740 KINGSWAY DR STE 33, INDIANAPOLIS, IN 46205-1521
(317) 828-0211
(888) 887-0932
Mailing address
4740 KINGSWAY DR STE 33, INDIANAPOLIS, IN 46205-1521
(317) 828-0211
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22005035A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200859350 A
LEGACY PROVIDER IDENTIFIE
IN
Enumeration date
07/31/2007
Last updated
01/20/2023
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