Doctor Name: | KARA SHULL |
NPI Number: | 1053606244 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.-SLP |
License Number: | 2773 |
Business Practice Address: | 3515 Broadway Ave Great Bend, KS - 675303633 |
Business Phone Number: | 6207866111 |
Business Fax Number: | |
Mailing Address: | 809 Coolidge St Apt 213, GREAT BEND |
State: | KS |
Postal Code: | 675304726 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/15/2011 |
NPI Last Update Date: | 06/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2773 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
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 |