Individual
MICHAEL ZACHARY FAVORITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22000 PRAIRIE STAR PKWY, LENEXA, KS 66220-7901
(785) 296-0061
Mailing address
448 E MEYER BLVD, KANSAS CITY, MO 64131-1119
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2019034859
MO
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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