Individual
KRISTEN MARIE PONCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1806 SWIFT AVE, NORTH KANSAS CITY, MO 64116-3634
(816) 804-3026
Mailing address
3501 NW 70TH ST, KANSAS CITY, MO 64151-2064
(620) 212-3351
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2014024927
MO
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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