Individual
STEPHANIE KUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6700 ANTIOCH RD, SUITE 120, MERRIAM, KS 66204-1497
(843) 271-7002
Mailing address
16105 E 76TH ST, KANSAS CITY, MO 64139-1341
(843) 271-7002
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3009
KS
Other
Enumeration date
02/18/2015
Last updated
02/18/2015
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