Individual
KAYLEE KIMMEL SISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2673 E SAWYER RD, REPUBLIC, MO 65738-7574
(417) 324-7646
Mailing address
4537 E PEARSON MEADOW DR, SPRINGFIELD, MO 65802-6242
(417) 849-0302
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2022029693
MO
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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