Most Relevant Information
Provider Data
| NPI Number: | 1003305632 |
| Provider Name: | KAILEY ROSE SHELDON |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/09/2018 |
| Last Updated: | 05/09/2018 |
Provider Practice Location
320 11TH AVE S
NAMPA
ID
836515073
Practice Location Phone/Fax
| Phone: | 2084661077 |
| Fax: |
Provider Mailing Location
320 11TH AVE S
NAMPA
ID
836515073
Provider Mailing Phone/Fax
| Phone: | 2084661077 |
| Fax: |