Organization
NEW BALLOON LLC
Active
Other names
New Balloon Therapy Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEENAN C STUMP (OWNER)
(816) 533-4757
Entity
Organization
Contact information
Practice address
811 E 72ND ST, KANSAS CITY, MO 64131-1605
(816) 533-4757
(816) 817-0657
Mailing address
PO BOX 8882, KANSAS CITY, MO 64114-8882
(816) 533-4757
(816) 817-0657
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/06/2012
Last updated
07/06/2012
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