Individual
JENNIE JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
908 N PEARL ST, PAOLA, KS 66071-1140
(913) 294-4308
Mailing address
14003 ASH DR, OVERLAND PARK, KS 66224-3577
(785) 393-2737
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2780
KS
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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