Adrianne Kinchen Funk, MCD CCC SLP
Individual provider Active NPI Speech-Language Pathologist · Arnold, MO
NPI 1275964462 · NPPES record last updated Mar 28, 2014
Key facts
- NPI
- 1275964462
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2013021961 (MO)
- Practice address
- 3488 Jeffco Blvd
Suite 102
Arnold, MO 63010-6015 - Phone
- (636) 464-5439
- Fax
- (636) 464-5438
- NPI assigned
- Dec 12, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013021961 | MO | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2013021961 | MO | Yes |
Addresses
Primary practice location
3488 Jeffco Blvd
Suite 102
Arnold, MO 63010-6015
Mailing address
3488 Jeffco Blvd
Suite 102
Arnold, MO 63010-6015
Phone (636) 464-5439
Other providers in Arnold, MO
- Courtney Fraley
- Benessa Denise Francis
- Kelly E Franklin
- Kiley Freesmeier
- Claire Rebecca Freise
- Tonja Renee G'Sell
- Christina Gabriel
- Paula Gannon
- Robert Gatewood
- Katie Gatzke
All providers in Arnold, MO · Speech-Language Pathologist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.