Individual
ELLYN TIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6501 W 75TH ST, OVERLAND PARK, KS 66204-3017
(913) 383-9866
Mailing address
1111 W 46TH ST APT 39, KANSAS CITY, MO 64112-1214
(217) 620-8517
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4190
KS
Other
Enumeration date
10/04/2017
Last updated
10/04/2017
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