Provider Demographics
NPI:1013137363
Name:KUHLER, SYDNE DARLENE
Entity Type:Individual
Prefix:MRS
First Name:SYDNE
Middle Name:DARLENE
Last Name:KUHLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 S THOMAS ST
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:MO
Mailing Address - Zip Code:65263-1037
Mailing Address - Country:US
Mailing Address - Phone:660-291-5115
Mailing Address - Fax:660-291-5006
Practice Address - Street 1:MADISON C3 PUBLIC SCHOOLS
Practice Address - Street 2:309 S THOMAS ST
Practice Address - City:MADISON
Practice Address - State:MO
Practice Address - Zip Code:65263-1037
Practice Address - Country:US
Practice Address - Phone:660-291-5115
Practice Address - Fax:660-291-5006
Is Sole Proprietor?:No
Enumeration Date:2007-04-27
Last Update Date:2009-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO01425235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO467469300Medicaid