Individual
DR. KRISTIN KOETTING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4901 W 136TH ST, LEAWOOD, KS 66224-5926
(913) 674-9355
Mailing address
4901 W 136TH ST, LEAWOOD, KS 66224-5926
(913) 674-9355
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1796
KS
Other
Enumeration date
04/04/2011
Last updated
04/04/2011
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