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

Kyla Van Black

Individual provider Speech-Language Pathologist · NPI 1689058950

Kyla Van Black is a Speech-Language Pathologist in Bolivar, Missouri. Licensed in Missouri. Registered with an NPI since 2015.

Licensed in
MO
In the registry since
2015

Practice location Address checks out

4586 S 116th Rd
Bolivar, MO 65613-8547
Phone: (417) 326-2466
Fax: (417) 326-7739
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 2015021151 (MO)

Record details

NPI number1689058950
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 16, 2015
Last updated in NPPESJuly 16, 2015
Mailing address4586 S 116th Rd, Bolivar, MO 65613-8547

Other providers in Bolivar