NPI 1053642173

Kid Express

Organisation Early Intervention Provider Agency Schererville, IN

Practice location

Address: 1473 Lakewood Ln, Schererville, IN 46375-1093
Phone: (219) 805-8854

Authorised official

Name: Kelly Ann Fairris
Title: Speech-Language Pathologist/Owner
Phone: (219) 805-8854

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X Licence 22004186A (IN)

Other Early Intervention Provider Agency providers in Indiana →

Registry record

NPI: 1053642173
Entity type: Organization
NPI issued: 29 Jan 2010
Record last updated: 29 Jan 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.