Individual
NICOLE RENEE OLIPHANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
12810 W 133 PL APT 3109, OVERLAND PARK, KS 66213
(785) 643-4692
Mailing address
12810 W 133RD PL APT 3109, OVERLAND PARK, KS 66213-4948
(785) 643-4692
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4125
KS
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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