Organization
KIDZ R FUN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN S. KUPHALL M.S. CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(765) 717-1524
Entity
Organization
Contact information
Practice address
12002 STANLEY TER, FISHERS, IN 46037-4185
(765) 717-1524
(317) 845-0374
Mailing address
PO BOX 597, YORKTOWN, IN 47396-0597
(765) 717-1524
(317) 845-0374
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22003071A
IN
Other
Enumeration date
03/27/2007
Last updated
08/22/2020
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