Kathy J. Blanchard, MA

Individual provider Active NPI Speech-Language Pathologist · Leavenworth, KS

NPI 1548224850 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1548224850
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
241 (KS)
Practice address
4101 S 4TH St
Leavenworth, KS 66048-5014
Phone
(913) 682-2000
Fax
(913) 758-4280
NPI assigned
Apr 13, 2006
Sex
Female
Sole proprietor
Yes

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 Arts

State licenses

LicenseStateTypeSpecialty
241KSMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 241 KS Yes

Addresses

Primary practice location

4101 S 4TH St
Leavenworth, KS 66048-5014

Mailing address

808 Lake Forest
Bonner Springs, KS 66012-9540
Phone (913) 441-6960

Other providers in Leavenworth, KS

All providers in Leavenworth, KS · Speech-Language Pathologist in Kansas

Sources for this page

Verify at the official NPI Registry.