Provider Demographics
NPI:1134212715
Name:LYNN, KAREN JOAN (MS CCC/SLP)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:JOAN
Last Name:LYNN
Suffix:
Gender:F
Credentials:MS CCC/SLP
Other - Prefix:MS
Other - First Name:KATE
Other - Middle Name:JOAN
Other - Last Name:LYNN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS CCC/SLP
Mailing Address - Street 1:393 FATE LUTZ RD
Mailing Address - Street 2:
Mailing Address - City:HANSON
Mailing Address - State:KY
Mailing Address - Zip Code:42413
Mailing Address - Country:US
Mailing Address - Phone:270-871-1566
Mailing Address - Fax:
Practice Address - Street 1:393 FATE LUTZ RD
Practice Address - Street 2:
Practice Address - City:HANSON
Practice Address - State:KY
Practice Address - Zip Code:42413
Practice Address - Country:US
Practice Address - Phone:270-322-0119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2016-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-2429235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist