Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1689058950 Individual Practitioner Female Practitioner

Kyla Van Black

Speech-Language Pathologist • Bolivar, MO

Professional Overview & Biography Verified Profile Summary

Kyla Van Black is a registered healthcare professional specializing in Speech-Language Pathologist in Bolivar, MO. Practice services are available at 4586 S 116TH RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4586 S 116th Rd

Bolivar, MO 656138547

Telephone 4173262466
Fax 4173267739
Associated Practice Facility / Clinic
🏢 Motor Monkeys Llc Facility NPI 1154761948

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Bolivar, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.4 Yrs
Regional Practice Density
23 Specialists

Practicing in Bolivar, MO (5112 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MO 2015021151

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Mallory Harper

Occupational Therapist

NPI 1114624269
Shawn Brand

Occupational Therapy Assistant

NPI 1134990625
NPI 1306297759

Physical Therapist, Doctor of Physical Therapy

Danielle Williams , OTR

Occupational Therapist

NPI 1306477807

Occupational Therapist Registered

Kathleen Kroutil , OTR, L

Occupational Therapist

NPI 1669962551

Occupational Therapist Registered, L

Jamee Stimpson , OT, L

Occupational Therapist

NPI 1740680453

Occupational Therapist, L

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 16, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 16, 2015

Registered at 4586 S 116TH RD, BOLIVAR, MO 656138547 (Tel: 4173262466)

📍
Updated Business Mailing Address July 16, 2015

Registered at 4586 S 116TH RD, BOLIVAR, MO 656138547 (Tel: 4173262466)

👤
Provider Name / Credentials Updated July 16, 2015

Recorded as KYLA VAN BLACK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2015

Speech-Language Pathologist (License #2015021151 in MO)

🟢
Initial NPI Registration & Enumeration July 16, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689058950
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 16, 2015
Last Update: July 16, 2015
Sole Proprietor: No

Mailing Address

4586 S 116th Rd

Bolivar, MO 656138547

Phone: 4173262466

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.