Organization
CHICKEN LIPPS APPS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY G KENIK M.A (SPEECH-LANGUAGE PATHOLOGIST)
(307) 620-0054
Entity
Organization
Contact information
Practice address
372 US HIGHWAY 16 E, BUFFALO, WY 82834-9522
(307) 620-0054
(307) 684-5890
Mailing address
372 US HIGHWAY 16 E, BUFFALO, WY 82834-9522
(307) 620-0054
(307) 684-5890
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-318
WY
Other
Enumeration date
03/25/2013
Last updated
03/25/2013
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