Kaitlyn Kurzhal, M.A. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14255177 Issued in IN

Practice address

150 W Angela Blvd
South Bend, IN 46617-1101

Phone

(574) 213-5080

Fax

(833) 315-2429

NPI assigned

May 31, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1356909758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 WOODLAWN BLVD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466161950",
            "telephone_number": "574-229-5645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W ANGELA BLVD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466171101",
            "telephone_number": "574-213-5080",
            "fax_number": "833-315-2429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURZHAL",
        "first_name": "KAITLYN",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-31",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "14255177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA PROFESSIONAL LICENSING AGENCY",
            "identifier": "14255177",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeanine Marie Kuna, FNP
• Nicole Lynn Kunar, DO
• Monica Kunz, LCSW
• Hannah Kupferschmid
• Kelley Kurtz, RN
• Rachelina Portolese Kvietkus, M.D.
• Joshua Eric Kwasnicka
• Zachary Kyle, MSW, LCSW
• L & L Caring Hands Home Care LLC
• Labcorp Indiana Inc

• Speech-Language Pathologist in South Bend, IN
• Providers in South Bend, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.