Individual
TIFFANY SPECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7440 FRONTAGE RD, MERRIAM, KS 66203-4670
(913) 236-6455
Mailing address
7440 FRONTAGE RD, MERRIAM, KS 66203-4670
(913) 236-6455
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
53-76414-111
KS
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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