Individual
KRYSTINA MCKANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
105 N GREENE RD, GOSHEN, IN 46526-1520
(574) 387-2665
Mailing address
105 N GREENE RD, GOSHEN, IN 46526-1520
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22005542A
IN
Other
Enumeration date
06/10/2020
Last updated
07/13/2020
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