Individual
KAYLA RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP, IBCLC
Contact information
Practice address
11777 GRAVOIS RD STE B, SAINT LOUIS, MO 63127-1822
(314) 252-0153
Mailing address
136 TIMBERCREST RD, KIRKWOOD, MO 63122-1312
(217) 257-0070
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
L-307454
—
235Z00000X
Speech-Language Pathologist
Primary
2016044882
MO
Other
Enumeration date
06/04/2013
Last updated
07/02/2024
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