Individual
MS. SHELLEY L KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
100 N THOMPSON AVENUE, EXCELSIOR SPRINGS PUBLIC SCHOOL, EXCELSIOR SPRINGS, MO 64024-0248
(816) 630-9221
(816) 630-9207
Mailing address
PO BOX 248, 100 N THOMPSON AVENUE, EXCELSIOR SPRINGS, MO 64024-0248
(816) 630-9221
(816) 630-9207
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01131
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
463521401
—
MO
Enumeration date
04/12/2007
Last updated
02/20/2009
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