Individual
JANESSA KINGORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
411 N MADISON ST, WEBB CITY, MO 64870-1238
(417) 673-6000
Mailing address
733 COLONIAL DR, WEBB CITY, MO 64870-1076
(417) 540-1587
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2015021285
MO
Other
Enumeration date
12/07/2015
Last updated
12/07/2015
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