Individual ProviderKyla Cherie KohagenSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address456 N Logan St Apt 302, Denver, CO 80203-3643(612) 850-7496PECOS EnrollmentBased on the most recent information from CMS, provider Kyla Cherie Kohagen does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 1:08 PM.Profile DetailsProvider ID1265075949Provider TypeIndividualFull NameKohagen, Kyla CherieCredentialCCC-SLPGenderFemaleSole ProprietorNoEnumeration Date10/24/2019Last Updated10/24/2019Contact InformationPractice LocationPractice Address456 N Logan St Apt 302, Denver, CO 80203-3643Phone(612) 850-7496FaxUnlisted FaxMailing LocationMailing Address456 N Logan St Apt 302, Denver, CO 80203-3643Phone(612) 850-7496FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense0003771ColoradoProvider IdentifiersIDDescriptionIssuerIDNONEDescriptionOtherIssuerNONE