MEDICARE: KAITLIN ADRIAN, LLC

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	:	1881560316
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KAITLIN ADRIAN, LLC

Provider Business Mailing Address
First Line	:	1338 SHANNON AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46201-1743
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1338 SHANNON AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46201-1743
Country	:	US
Telephone Number	:	317-514-2261
Fax Number	:

Authorized Official
Title or Position	:	SLP/OWNER
Name	:	KAITLIN ADRIAN
Credential	:	M.S., CCC-SLP
Telephone Number	:	317-514-2261

Provider Enumeration Date	:	10/13/2025
Last Update Date	:	10/13/2025

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Directions to “KAITLIN ADRIAN, LLC ” Practice Location

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