Healthcare Provider Details

I. General information

NPI: 1023912342
Provider Name (Legal Business Name): KLSP AUDIOLOGY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 MASSILLON RD
GREEN OH
44720-1166
US

IV. Provider business mailing address

3507 VANDERHOOF RD
NEW FRANKLIN OH
44203-7854
US

V. Phone/Fax

Practice location:
  • Phone: 330-896-9119
  • Fax:
Mailing address:
  • Phone: 330-607-4472
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. KATHERN LUCILE SIGAL PAPP
Title or Position: AUDIOLOGIST/OWNER
Credential: AUD
Phone: 330-607-4472