Individual
KATELYN KUMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
7000 W 121ST ST STE 110, OVERLAND PARK, KS 66209-2011
(913) 912-2174
Mailing address
11080 W 133RD TER APT 11, OVERLAND PARK, KS 66213-3682
(620) 388-1505
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4521
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4521
STATE LICENSE
KS
Enumeration date
08/15/2019
Last updated
08/15/2019
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