| NPI | 1255571964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN LYNN KENNEDY Owner 316-573-6802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 2627) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 1412) |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2023-03-21 |