Individual
KELLY HULTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
4740 KINGSWAY DR STE 33, INDIANAPOLIS, IN 46205-1521
(317) 828-0211
(888) 887-0932
Mailing address
4740 KINGSWAY DR STE 33, INDIANAPOLIS, IN 46205-1521
(317) 828-0211
(888) 887-0932
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22005295A
IN
Other
Enumeration date
02/08/2012
Last updated
03/22/2023
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