Individual
KAITLYN NICOLE MCMINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19292 GUNNS BRANCH RD, MEMPHIS, MO 63555-2081
(660) 299-0240
Mailing address
19292 GUNNS BRANCH RD, MEMPHIS, MO 63555-2081
(660) 299-0240
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
2024008581
MO
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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