Individual
KATHRYN RUDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15515 STONY CREEK WAY, NOBLESVILLE, IN 46060-4386
(317) 776-9000
Mailing address
5932 CARVEL AVE, INDIANAPOLIS, IN 46220-2663
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22005394A
IN
Other
Enumeration date
05/19/2014
Last updated
05/19/2014
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