Individual
KYREN GRIEBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
4422 E STATE BLVD, FORT WAYNE, IN 46815-6917
(260) 471-9263
(765) 450-6664
Mailing address
700 E FIRMIN STREET, SUITE 209, KOKOMO, IN 46902-2375
(765) 454-9748
(765) 450-6664
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22006435A
IN
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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