Provider Demographics
NPI:1487839569
Name:ANSON, KRISTEN NICOLE (MS SPEECH-PATHOLOG)
Entity type:Individual
Prefix:MRS
First Name:KRISTEN
Middle Name:NICOLE
Last Name:ANSON
Suffix:
Gender:F
Credentials:MS SPEECH-PATHOLOG
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3101 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-1921
Mailing Address - Country:US
Mailing Address - Phone:816-841-2284
Mailing Address - Fax:816-753-7836
Practice Address - Street 1:8817 WORNALL RD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-2922
Practice Address - Country:US
Practice Address - Phone:816-349-3613
Practice Address - Fax:816-349-3637
Is Sole Proprietor?:No
Enumeration Date:2008-01-08
Last Update Date:2012-10-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2008035976235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist