Healthcare Provider Details

I. General information

NPI: 1013174267
Provider Name (Legal Business Name): JOAN SMITH KUHN MS CCC SLP SPEECH LA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2008
Last Update Date: 05/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2425 HIGHWAY 41 N SUITE 302
EVANSVILLE IN
47711
US

IV. Provider business mailing address

2425 HIGHWAY 41 N SUITE 302
EVANSVILLE IN
47711
US

V. Phone/Fax

Practice location:
  • Phone: 812-306-4776
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number22000949A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2007014913
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: