Individual
ANGELA BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1002 S JEFFERSON ST, KEARNEY, MO 64060-8770
(816) 628-4116
Mailing address
1002 S JEFFERSON ST, KEARNEY, MO 64060-8770
(816) 628-4116
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01867
MO
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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