Provider Demographics
NPI:1891674248
Name:FELIX, KARA YOUNG
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:YOUNG
Last Name:FELIX
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 1:295 W 4350 N
Mailing Address - Street 2:
Mailing Address - City:TETONIA
Mailing Address - State:ID
Mailing Address - Zip Code:83452-4829
Mailing Address - Country:US
Mailing Address - Phone:801-419-8032
Mailing Address - Fax:
Practice Address - Street 1:295 W 4350 N
Practice Address - Street 2:
Practice Address - City:TETONIA
Practice Address - State:ID
Practice Address - Zip Code:83452-4829
Practice Address - Country:US
Practice Address - Phone:801-419-8032
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-29
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID3771670235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist