Provider Demographics
NPI:1053552356
Name:KAUL, KAVITA NARASIMHAN (MS, CCC-SLP/ A)
Entity type:Individual
Prefix:MRS
First Name:KAVITA
Middle Name:NARASIMHAN
Last Name:KAUL
Suffix:
Gender:F
Credentials:MS, CCC-SLP/ A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11429 RIVER RUN DR
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23059-5107
Mailing Address - Country:US
Mailing Address - Phone:804-360-4706
Mailing Address - Fax:804-261-4790
Practice Address - Street 1:4122 E PARHAM RD
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23228-2749
Practice Address - Country:US
Practice Address - Phone:804-672-8588
Practice Address - Fax:804-672-8587
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-16
Last Update Date:2009-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2201000613231H00000X
VA2202001958235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist