Provider Demographics
NPI:1356633317
Name:KUDER, KARINA RICH (SLP)
Entity Type:Individual
Prefix:MRS
First Name:KARINA
Middle Name:RICH
Last Name:KUDER
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1155 JUNGS STATION RD
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63303-6010
Mailing Address - Country:US
Mailing Address - Phone:636-851-4200
Mailing Address - Fax:636-851-4097
Practice Address - Street 1:1155 JUNGS STATION RD
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63303-6010
Practice Address - Country:US
Practice Address - Phone:636-851-4200
Practice Address - Fax:636-851-4097
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-10
Last Update Date:2011-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist