MEDICARE: KAITLYN ARVIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1053298828
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAITLYN ARVIN

Provider Business Mailing Address
First Line	:	12698 N WATERS EDGE DR
Second Line	:
City	:	CAMBY
State	:	IN
Zip	:	46113-9553
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2455 S MORGANTOWN RD
Second Line	:
City	:	GREENWOOD
State	:	IN
Zip	:	46143-9407
Country	:	US
Telephone Number	:	317-881-1720
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2025
Last Update Date	:	08/21/2025

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Directions to “ KAITLYN ARVIN ” Practice Location

Language	Start Address	Practice Location

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