Individual
MRS. HEATHER LYNN KINSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.,CCC-SLP
Contact information
Practice address
100 MEDICAL PLZ, LAKE ST LOUIS, MO 63367-1366
(314) 956-9595
Mailing address
318 PIONEER RIDGE DR, WENTZVILLE, MO 63385-4473
(314) 956-9595
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
116766
MO
235Z00000X
Speech-Language Pathologist
146.005306
IL
Other
Enumeration date
08/16/2011
Last updated
08/16/2011
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