Individual
KYLEIGH MO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
310 CORPORATE DR STE 101, KNOXVILLE, TN 37923-4638
(307) 760-4432
(865) 686-5820
Mailing address
310 CORPORATE DR STE 101, KNOXVILLE, TN 37923-4638
(307) 760-4432
(865) 686-5820
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0000008438
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8438
TN DOH SLP LICENSE
TN
Enumeration date
12/18/2023
Last updated
11/08/2024
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