Individual
KELSEY BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9601 JAMES A REED RD, KANSAS CITY, MO 64134-1652
(816) 316-8109
Mailing address
9601 JAMES A REED RD, KANSAS CITY, MO 64134-1652
(816) 316-8109
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2015022871
MO
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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