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Contact Information

KID EXPRESS
1473 LAKEWOOD LN
SCHERERVILLE, IN46375-1093
 Phone: 219-805-8854
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Early Intervention Provider Agency

252Y00000X
Indicates primary specialty

NPI Profile & details for KID EXPRESS

NPI # 1053642173
LBN Legal business name KID EXPRESS
Authorized official KELLY FAIRRIS - (SPEECH-LANGUAGE PATHOLOGIST/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/29/2010
Last updated 01/29/2010 - About 16 years ago
Identifiers
IN License # 22004186A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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