| Doctor Name: | MS. KELLY SUE JENKINS |
| NPI Number: | 1023157427 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP |
| License Number: | 2006022415 |
| Business Practice Address: | 3930 Washington St Kansas City, MO - 641112925 |
| Business Phone Number: | 8169318300 |
| Business Fax Number: | 8773498814 |
| Mailing Address: | 4790 Oak St, KANSAS CITY |
| State: | MO |
| Postal Code: | 641122211 |
| Phone Number: | 8163090141 |
| Fax Number: | 8773498814 |
| NPI Enumeration Date: | 02/05/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 2006022415 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |