Individual
KELLY BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
905 NE BLUESTEM DR, LEES SUMMIT, MO 64086-3700
(816) 986-2460
Mailing address
905 NE BLUESTEM DR, LEES SUMMIT, MO 64086-3700
(816) 986-2460
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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