Individual
KIMBERLY SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13007 10TH ST, GRANDVIEW, MO 64030-2413
(816) 316-5263
Mailing address
13007 10TH ST, GRANDVIEW, MO 64030-2413
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/15/2017
Last updated
08/15/2017
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