Individual
MCKENZIE KIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS, CCC-SLP
Contact information
Practice address
6190 BARNES RD, COLORADO SPRINGS, CO 80922-2600
(719) 247-1511
Mailing address
6450 BLACK RIDGE VW APT 202, COLORADO SPRINGS, CO 80924-4455
(479) 747-8841
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PSLP.0000520
CO
Other
Enumeration date
05/10/2020
Last updated
05/10/2020
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