Individual
MRS. KELLEY WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 W 115TH ST, LEAWOOD, KS 66211-2684
(913) 348-6362
Mailing address
15504 S ARAPAHO ST, OLATHE, KS 66062-5054
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10004714
KS
235Z00000X
Speech-Language Pathologist
22003237A
IN
Other
Enumeration date
08/15/2008
Last updated
10/03/2022
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