Kylie Michelle Bull, CCC-SLP
NPI 1063935815ActiveIndividual· Speech-Language Pathologist· Boise, ID
Speech-Language Pathologist (CCC-SLP) in Boise, Idaho, licensed in ID, with an NPI issued in July 2017. Enrolled in Medicare as practitioner - qualified speech language pathologist.
Overview
| NPI | 1063935815 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CCC-SLP |
| Sole proprietor | No |
| NPI issued | Jul 24, 2017 |
| Last updated in NPPES | May 17, 2023 |
| Certified by provider | May 17, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | TSLP-3247 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (ID) |
|---|
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