Individual
MRS. KIM BERENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MACCC-SLP
Contact information
Practice address
2419 SW SPRINGWATER RDG, LEES SUMMIT, MO 64081-2130
(816) 246-0120
Mailing address
2419 SW SPRINGWATER RDG, LEES SUMMIT, MO 64081-2130
(816) 246-0120
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
102810
MO
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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