KAILEY NICOLE JO MA, CCC-SLP
NPI 1912517244
Speech-Language Pathologist in Grand Rapids, MI

Q: What is Kailey Jo's NPI number?

The NPI number for Kailey Jo is 1912517244. It was assigned to this individual provider in the NPPES registry on August 2, 2020.

Q: What is Kailey Jo's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Kailey Jo was last updated on August 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 02, 2020

710 KENMOOR AVE SE STE 110, GRAND RAPIDS, MI 49546(616) 591-2905(616) 333-2321 Get Directions Write a Review

NPPES record last updated: August 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 11, 2020, Aug 2, 2020 (2 updates tracked since 2020).

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About Kailey Nicole Jo Ma, Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAILEY NICOLE JO MA, CCC-SLP (NPI 1912517244) is an individual speech-language pathologist provider in Grand Rapids, Michigan, licensed in Michigan (7101006090) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1912517244

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameKAILEY NICOLE JOCredential: MA, CCC-SLP

Location Address710 KENMOOR AVE SE STE 110Grand Rapids, MI 49546-2379

Mailing Address5940 Mill Point Ct SeGrand Rapids, MI 49512-9363 · (616) 307-3512

Phone(616) 591-2905

Fax(616) 333-2321

Sole ProprietorNo

Enumeration DateAugust 2, 2020

Last NPPES UpdateAugust 11, 20202 updates tracked since enumeration

NPPES CertifiedAugust 11, 2020

✔ NPI 1912517244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in MI · 7101006090

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

710 KENMOOR AVE SE STE 110, Grand Rapids, MI 49546

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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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