Kid Express
NPI #1053642173 in Schererville, Indiana
Provider Information
- NPI Number
- 1053642173
- Entity Type
- Organization
- Organization Name
- Kid Express
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Jan 29, 2010
- Last Updated
- Jan 29, 2010
Practice Location
- Address
- 1473 LAKEWOOD LN
- City
- Schererville
- State
- Indiana
- ZIP Code
- 46375-1093
- Phone
- (219) 805-8854
Authorized Official
- Name
- KELLY ANN FAIRRIS, MA CCC-SLP
- Title
- SPEECH-LANGUAGE PATHOLOGIST/OWNER
- Phone
- (219) 805-8854
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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