Individual
KIRK SEYMOUR WYDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
1224 5TH ST, DENVER, CO 80204-2006
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PSLP.0000486
CO
Other
Enumeration date
07/08/2020
Last updated
04/14/2021
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