Individual
LAUREN SUSANNE KIVLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1503 OHIO ST, LEAVENWORTH, KS 66048-2999
(913) 772-1844
Mailing address
441 E 69TH TER, KANSAS CITY, MO 64131-1330
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4081
KS
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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