Individual
DR. KATHERINE S BOURQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
226 W 66TH TER, KANSAS CITY, MO 64113-1855
(816) 517-0333
Mailing address
226 W 66TH TER, KANSAS CITY, MO 64113-1855
(816) 517-0333
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2011021425
MO
Other
Enumeration date
08/10/2011
Last updated
08/10/2011
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