Healthcare Provider Details

I. General information

NPI: 1336635267
Provider Name (Legal Business Name): HANNAH BRITT KUZMA CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2018
Last Update Date: 07/03/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 HOMEWOOD BLVD
GLASGOW KY
42141-3468
US

IV. Provider business mailing address

108 TRIGG CT
GLASGOW KY
42141-2252
US

V. Phone/Fax

Practice location:
  • Phone: 270-651-6126
  • Fax:
Mailing address:
  • Phone: 270-670-8174
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number242638
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: