Individual
KRISTAN COCHRANE WADELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC/SLP
Contact information
Practice address
10608 HOBBS STATION RD, LOUISVILLE, KY 40223-2671
(502) 253-9565
(502) 253-9566
Mailing address
10608 HOBBS STATION RD, LOUISVILLE, KY 40223-2671
(502) 253-9565
(502) 253-9655
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1505
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000372922
ANTHEM BC/BS ID. #
KY
Enumeration date
09/16/2006
Last updated
07/08/2007
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