Individual
MR. KEVIN AUDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
16412 W 124TH ST, OLATHE, KS 66062-1162
(913) 378-6058
Mailing address
16412 W 124TH ST, OLATHE, KS 66062-1162
(913) 378-6058
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001863
MO
Other
Enumeration date
08/26/2009
Last updated
08/26/2009
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