Doctor Name: | MS. NICOLE KAYLA KINDRED |
NPI Number: | 1992057079 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., SLP |
License Number: | 002223 |
Business Practice Address: | 1079 N Center Point Rd Hiawatha, IA - 522331231 |
Business Phone Number: | 3193698001 |
Business Fax Number: | |
Mailing Address: | 2535 Covington Rd, PALO |
State: | IA |
Postal Code: | 523249709 |
Phone Number: | 3197218001 |
Fax Number: | |
NPI Enumeration Date: | 10/12/2012 |
NPI Last Update Date: | 05/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 002223 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |