Individual
KASSIDY FAITH BRITTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3510 W CENTRAL AVE STE 100, WICHITA, KS 67203-4951
(316) 251-0764
Mailing address
706 E ROLLING VIEW DR, PARK CITY, KS 67147-7314
(316) 288-0951
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14484923
KS
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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