Provider Demographics
NPI:1285296764
Name:SPEECH AND SWALLOWING SPECIALISTS OF KANSAS CITY LLC
Entity type:Organization
Organization Name:SPEECH AND SWALLOWING SPECIALISTS OF KANSAS CITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST, OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HURST
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:913-484-2583
Mailing Address - Street 1:6711 OAK ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64113-2442
Mailing Address - Country:US
Mailing Address - Phone:913-484-2583
Mailing Address - Fax:
Practice Address - Street 1:6711 OAK ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64113-2442
Practice Address - Country:US
Practice Address - Phone:913-484-2583
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-03
Last Update Date:2019-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health