Individual
LONI ANN MOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
622 N EDGEMOOR ST, WICHITA, KS 67208-3602
(316) 686-5100
Mailing address
6700 S 119TH ST W, CLEARWATER, KS 67026-9074
(316) 393-4127
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3594
KS
Other
Enumeration date
08/28/2017
Last updated
08/28/2017
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