Individual
MRS. KIMBERLY PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CF-SLP
Contact information
Practice address
401 MATT WALLER DR, RICHMOND, MO 64085-2270
(816) 776-3059
(816) 776-2608
Mailing address
5 W 14TH ST, CARROLLTON, MO 64633-1926
(660) 349-5086
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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