Active NPI
Ken James Kallail, PHD
- Speech-Language Pathologist
- Wichita, KS
National Provider Identifier
1548491228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3
- Practice address
- 1010 N Kansas St
Wichita, KS 67214-3124 - Phone
- (316) 293-2650
- Fax
- (316) 293-1878
- NPI assigned
- Jul 29, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3 | KS | Primary |
Addresses
Primary practice location
1010 N Kansas St
Wichita, KS 67214-3124
Mailing address
1010 N Kansas St
Wichita, KS 67214-3124
Phone (316) 293-2650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3 | KS | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248825600000",
"number": "1548491228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 N KANSAS ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672143124",
"telephone_number": "316-293-2650",
"fax_number": "316-293-1878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 N KANSAS ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672143124",
"telephone_number": "316-293-2650",
"fax_number": "316-293-1878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALLAIL",
"first_name": "KEN",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-29",
"last_updated": "2009-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KS",
"license": "3",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.