Provider Demographics
NPI:1003782400
Name:KERN, CAILYN MICHELLE (AUD)
Entity type:Individual
Prefix:
First Name:CAILYN
Middle Name:MICHELLE
Last Name:KERN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26726 CROWN VALLEY PKWY STE 210
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-8006
Mailing Address - Country:US
Mailing Address - Phone:949-276-4008
Mailing Address - Fax:949-276-4008
Practice Address - Street 1:26726 CROWN VALLEY PKWY STE 210
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-8006
Practice Address - Country:US
Practice Address - Phone:949-276-4008
Practice Address - Fax:949-276-4008
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-13
Last Update Date:2025-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AU4098237600000X
CAAU4098231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter