Individual
KARA B WALLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10300 W 103RD ST, SUITE 300, OVERLAND PARK, KS 66214-2642
(913) 894-1910
Mailing address
5621 N 112TH CIR, OMAHA, NE 68164-1564
(402) 932-1696
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
12095736
—
235Z00000X
Speech-Language Pathologist
Primary
1211
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1211
STATE LICENSE
NE
Enumeration date
02/25/2008
Last updated
02/25/2008
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