Provider Demographics
NPI:1306310420
Name:O'NEAL, KRISTIN MEREDITH
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:MEREDITH
Last Name:O'NEAL
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 1:6998 S COUNTY ROAD 580 E
Mailing Address - Street 2:
Mailing Address - City:KIRKLIN
Mailing Address - State:IN
Mailing Address - Zip Code:46050-8802
Mailing Address - Country:US
Mailing Address - Phone:765-414-3081
Mailing Address - Fax:
Practice Address - Street 1:6998 S COUNTY ROAD 580 E
Practice Address - Street 2:
Practice Address - City:KIRKLIN
Practice Address - State:IN
Practice Address - Zip Code:46050-8802
Practice Address - Country:US
Practice Address - Phone:765-426-2350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-12
Last Update Date:2019-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant