Individual
KETA L SPIDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10949 W 500 S, KEMPTON, IN 46049-9393
(765) 947-4445
Mailing address
10949 W 500 S, KEMPTON, IN 46049-9393
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004547A
IN
Other
Enumeration date
11/27/2007
Last updated
11/27/2007
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