Individual
AUDRA K KONING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
FORT OSAGE R-I, 2101 N TWYMAN ROAD, INDEPENDENCE, MO 64058-3200
(816) 796-8762
(816) 796-3657
Mailing address
1105 N VIKING CT, INDEPENDENCE, MO 64056-3238
(816) 808-5089
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
117369
MO
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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