Individual
KATHY JEAN EDMONDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1925 VILAS ST, LEAVENWORTH, KS 66048-4016
(913) 684-1470
Mailing address
24468 159TH ST, LEAVENWORTH, KS 66048-7333
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2100
KS
Other
Enumeration date
03/27/2019
Last updated
03/27/2019
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