Kendra Renee Fischer, MS CCC SLP
Individual provider Active NPI Speech-Language Pathologist · Grandview, MO
NPI 1295955540 · NPPES record last updated Feb 20, 2009
Key facts
- NPI
- 1295955540
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2002020197 (MO)
- Practice address
- Consolidated School Dist 4
13015 10TH St
Grandview, MO 64030-2401 - Phone
- (816) 316-5047
- Fax
- (816) 316-5081
- NPI assigned
- Apr 27, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2002020197 | MO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Consolidated School Dist 4 | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2002020197 | MO | Yes |
Addresses
Primary practice location
Consolidated School Dist 4
13015 10TH St
Grandview, MO 64030-2401
Mailing address
13015 10TH St
Grandview, MO 64030-2401
Phone (816) 316-5047
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 465692408 | Medicaid | MO |
Other providers in Grandview, MO
- Deborah A Elrod
- Emily Katherine Handley, DDS, PC
- Andrew Robert Emrich
- Lauren Marie Erdman
- Essential Developments L.L.C.
- Forward Living LLC
- Tara Ann Foster
- Four B Corp
- Four B Corp
- Michelle R Franey
All providers in Grandview, 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 Feb 20, 2009. 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.