Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kylie Brynne Meerholz, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1629647565

Kylie Brynne Meerholz, MS, CCC-SLP is a Qualified Speech Language Pathologist in Jenks, Oklahoma. Qualified in 2015, 11 years ago. Practices as a sole proprietor. Licensed in Oklahoma.

Years since qualifying
11
Licensed in
OK
In the registry since
2021
What do these letters mean?
MS — Master of Science
A graduate science 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

11708 S Forest Ave
Jenks, OK 74037-5019
Phone: (918) 633-1184
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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 4595 (OK)

Record details

NPI number1629647565
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorYes
NPI enumeratedJune 24, 2021
Last updated in NPPESJune 24, 2021
Certification dateJune 24, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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