Provider Demographics
NPI:1205134046
Name:MATTHEW-KUEHN, LINDA D
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:D
Last Name:MATTHEW-KUEHN
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 1:224 GLASTONBURY ST
Mailing Address - Street 2:
Mailing Address - City:MUNSTER
Mailing Address - State:IN
Mailing Address - Zip Code:46321-9131
Mailing Address - Country:US
Mailing Address - Phone:219-934-0348
Mailing Address - Fax:
Practice Address - Street 1:224 GLASTONBURY ST
Practice Address - Street 2:
Practice Address - City:MUNSTER
Practice Address - State:IN
Practice Address - Zip Code:46321-9131
Practice Address - Country:US
Practice Address - Phone:219-934-0348
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-02
Last Update Date:2011-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist