Organization
KIRKSVILLE SPEECH AND SWALLOW CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI MAEDER MS, CCC-SLP (OWNER)
(816) 645-4810
Entity
Organization
Contact information
Practice address
1 CROWN DR STE 203, KIRKSVILLE, MO 63501-2510
(816) 645-4810
Mailing address
20863 OAK TREE TRL, KIRKSVILLE, MO 63501-7313
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
04/10/2020
Last updated
04/10/2020
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