Provider Demographics
NPI:1124831367
Name:FODEN, KYRBE N
Entity type:Individual
Prefix:
First Name:KYRBE
Middle Name:N
Last Name:FODEN
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 1:12 FERRY RD
Mailing Address - Street 2:
Mailing Address - City:PENNSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08070-2008
Mailing Address - Country:US
Mailing Address - Phone:315-219-3895
Mailing Address - Fax:
Practice Address - Street 1:2916 DUNCAN RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-2319
Practice Address - Country:US
Practice Address - Phone:302-636-5681
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-30
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant