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Individual

LAUREN SUSANNE KIVLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
888 HAINES STE 230, LIBERTY, MO 64068-1008
(816) 797-9690
Mailing address
4911 BUENA VISTA ST, ROELAND PARK, KS 66205-1312

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
2025031419
MO
235Z00000X
Speech-Language Pathologist
Primary
2026035715
MO
235Z00000X
Speech-Language Pathologist
Primary
4081
KS

Other

Enumeration date
11/05/2024
Last updated
08/11/2026
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