Healthcare Provider Details

I. General information

NPI: 1346418803
Provider Name (Legal Business Name): KID PARTNERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2008
Last Update Date: 02/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13202 CEDAROYAL DR
DES PERES MO
63131-1908
US

IV. Provider business mailing address

13202 CEDAROYAL DR
DES PERES MO
63131-1908
US

V. Phone/Fax

Practice location:
  • Phone: 314-821-5437
  • Fax: 314-821-5437
Mailing address:
  • Phone: 314-821-5437
  • Fax: 314-821-5437

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number18852173
License Number StateMO

VIII. Authorized Official

Name: MS. MELISSA A. HUSE
Title or Position: SLP & CO-OWNER
Credential: M.A., CCC-SLP
Phone: 314-821-5437