Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kailey Nicole Jo, MA, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1912517244

Kailey Nicole Jo, MA, CCC-SLP is a Speech-Language Pathologist in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2020.

Licensed in
MI
In the registry since
2020
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

710 Kenmoor Ave SE Ste 110
Grand Rapids, MI 49546-2379
Phone: (616) 591-2905
Fax: (616) 333-2321
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 7101006090 (MI)

Record details

NPI number1912517244
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorNo
NPI enumeratedAugust 2, 2020
Last updated in NPPESAugust 11, 2020
Certification dateAugust 11, 2020

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