Individual
KELSI SCHUCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13800 W 116TH ST, OLATHE, KS 66062-7808
(913) 323-7129
Mailing address
4543 MADISON AVE, KANSAS CITY, MO 64111-3509
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2018040348
MO
235Z00000X
Speech-Language Pathologist
Primary
4461
KS
Other
Enumeration date
05/17/2019
Last updated
04/21/2020
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