Individual
KATHRYN L RUNGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
1444 S OLD HIGHWAY 66, COUNTY OF CRAWFORD PUBLIC SCHOOLS CONS DIST R I, BOURBON, MO 65441-6300
(573) 735-5615
(573) 732-4407
Mailing address
1444 S OLD HIGHWAY 66, BOURBON, MO 65441-6300
(573) 735-5615
(573) 732-4407
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01938
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
463132241
—
MO
Enumeration date
02/23/2007
Last updated
03/18/2021
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