Doctor Name: | MS. KORI KAY ROSS |
NPI Number: | 1205046687 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS SLP |
License Number: | 2489 |
Business Practice Address: | 4050 Victory Rd Chetopa, KS - 673368819 |
Business Phone Number: | 6206881026 |
Business Fax Number: | |
Mailing Address: | 4050 Victory Rd, CHETOPA |
State: | KS |
Postal Code: | 673368819 |
Phone Number: | 6206881026 |
Fax Number: | |
NPI Enumeration Date: | 05/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2489 |
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 |