Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blayne Allyssa Bogard

Individual provider Speech-Language Pathologist · NPI 1790672194

Blayne Allyssa Bogard is a Speech-Language Pathologist in Paducah, Kentucky. Licensed in Kentucky. Registered with an NPI since 2025.

Licensed in
KY
In the registry since
2025

Practice location Address checks out

3235 Olivet Church Rd Ste D
Paducah, KY 42001-9545
Phone: (270) 443-5712
Fax: (270) 933-1095
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 299540 (KY)

Record details

NPI number1790672194
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 19, 2025
Last updated in NPPESJune 19, 2025
Certification dateJune 19, 2025
Mailing address3235 Olivet Church Rd Ste D, Paducah, KY 42001-9545

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