Kids Source, Inc.

NPI 1235214735 - Early Intervention Provider Agency - 252Y00000X

NPI Details
NPI 1235214735
Enumeration Date 10/25/2006
Last Updated 04/15/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name PATRICIA PATRICIA
Position PRESIDENT
Phone (317) 873-6952
Fax (317) 873-6952
Practice Location
260 BEECHWOOD LN
ZIONSVILLE IN, 46077-1213, US
Phone (317) 873-6952
Fax (317) 873-6952
Business Location
260 BEECHWOOD LN
ZIONSVILLE IN, 46077-1213, US
Phone (317) 873-6952
Fax (317) 873-6952
Toxanomy
Taxonomy Code 252Y00000X
License State Indiana
License Number 200724480A
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According to our database, Kids Source, Inc. NPI is 1235214735, taxonomy code is 252Y00000X and license number is 200724480A, license state is located at Indiana. Kids Source, Inc. physically located at 260 Beechwood Ln, Zionsville IN, 46077-1213. NPI Number 1033115704 has the healthcare provider type.

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1235214735 NPI number is provided on an as is basis without warranty of any kind. 1235214735 is maintained by the National Plan & Provider Enumeration System. The contents of Kids Source, Inc. are for informational purposes only.