Individual
KRISTINA MARIE COLGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
9931 FOUNTAIN CIR, LENEXA, KS 66220-2694
(913) 322-9085
Mailing address
9931 FOUNTAIN CIR, LENEXA, KS 66220-2694
(913) 322-9085
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2004019689
MO
235Z00000X
Speech-Language Pathologist
2811
KS
Other
Enumeration date
11/01/2010
Last updated
11/01/2010
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