Individual
KRISTEN LYNN SHORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-MA
Contact information
Practice address
4650 MCMASTERS AVE, HANNIBAL, MO 63401-2244
(573) 221-1258
(573) 221-2994
Mailing address
4650 MCMASTERS AVE, HANNIBAL, MO 63401-2244
(573) 221-1258
(573) 221-2994
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2009024735
MO
Other
Enumeration date
09/16/2009
Last updated
01/22/2020
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