Individual
KRISTIN JANEEL MCCLEEREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3223 N OLIVER ST, WICHITA, KS 67220-2106
(316) 267-5437
(316) 267-5444
Mailing address
3223 N OLIVER ST, WICHITA, KS 67220-2106
(316) 267-5437
(316) 267-5444
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1956
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
480793004
—
KS
Enumeration date
02/16/2016
Last updated
02/16/2016
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