Individual
DR. KEN JAMES KALLAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1010 N KANSAS ST, WICHITA, KS 67214-3124
(316) 293-2650
(316) 293-1878
Mailing address
1010 N KANSAS ST, WICHITA, KS 67214-3124
(316) 293-2650
(316) 293-1878
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3
KS
Other
Enumeration date
07/29/2009
Last updated
07/29/2009
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