Provider Demographics
NPI:1891475497
Name:SKIPPER, KAYLEE PAIGE
Entity type:Individual
Prefix:
First Name:KAYLEE
Middle Name:PAIGE
Last Name:SKIPPER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6200 HIXSON PIKE APT 221
Mailing Address - Street 2:
Mailing Address - City:HIXSON
Mailing Address - State:TN
Mailing Address - Zip Code:37343-5711
Mailing Address - Country:US
Mailing Address - Phone:931-409-5637
Mailing Address - Fax:
Practice Address - Street 1:5617 HIGHWAY 153 STE 203
Practice Address - Street 2:
Practice Address - City:HIXSON
Practice Address - State:TN
Practice Address - Zip Code:37343-4677
Practice Address - Country:US
Practice Address - Phone:423-713-5266
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-19
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2297231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty