Organization
KVK SPEECH THERAPY
Active
Other names
KVK Speech Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
KATELYN JEAN SULLIVAN-VANKEUREN MS CCC SLP (SPEECH LANGUAGE PATHOLOGIST)
(208) 221-7375
Entity
Organization
Contact information
Practice address
4750 N CHESTNUT ST, COLORADO SPRINGS, CO 80907-3530
(208) 221-7375
Mailing address
4750 N CHESTNUT ST, COLORADO SPRINGS, CO 80907-3530
(208) 221-7375
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLP.0000513
COLORADO DEPARTMENT OF REGULATORY AGENCIES
CO
Enumeration date
10/26/2021
Last updated
10/26/2021
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