Individual
KELLY WITTMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10916 N RANDOLPH AVE, KANSAS CITY, MO 64157-8531
(314) 221-7337
Mailing address
10916 N RANDOLPH AVE, KANSAS CITY, MO 64157-8531
(314) 221-7337
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2004008557
MO
Other
Enumeration date
05/18/2017
Last updated
07/21/2022
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