Individual
KAYLA THACKERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2735 N JENNIE BARKER RD, GARDEN CITY, KS 67846
(620) 275-0291
(620) 275-0364
Mailing address
2735 N JENNIE BARKER RD, GARDEN CITY, KS 67846
(620) 275-0291
(620) 275-0364
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3732
KS
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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