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Individual

RYAN KEITH SPEED

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6155 OAK ST STE A5, KANSAS CITY, MO 64113-2240
(913) 228-2422
Mailing address
6429 CHARLOTTE ST, KANSAS CITY, MO 64131-1104
(913) 228-2422

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1041C0700X
Clinical Social Worker
07115
KS
1041C0700X
Clinical Social Worker
Primary
2025053709
MO

Other

Enumeration date
08/24/2022
Last updated
03/24/2026
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