Provider Demographics
NPI:1497483820
Name:LYKINS, KELSEY (MS)
Entity type:Individual
Prefix:
First Name:KELSEY
Middle Name:
Last Name:LYKINS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:KELSEY
Other - Middle Name:
Other - Last Name:CAPPEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:11083 HAMILTON AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-1409
Mailing Address - Country:US
Mailing Address - Phone:513-674-4200
Mailing Address - Fax:
Practice Address - Street 1:3240 BANNING RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45239-5207
Practice Address - Country:US
Practice Address - Phone:513-385-8000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-12
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOND.2022065-SP235Z00000X
OHCOND.20222065-SP235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist