Kirschen Minsky

Individual provider Active NPI Speech-Language Assistant · Peculiar, MO

NPI 1730940982 · NPPES record last updated Jan 16, 2024

Key facts

NPI
1730940982
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Assistant 2355S0801X
License
2013034748 (MO)
Practice address
21005 S School Rd
Peculiar, MO 64078-9346
Phone
(816) 892-1300
NPI assigned
Jan 16, 2024
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

LicenseStateTypeSpecialty
2013034748MOMDSpeech-Language Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 2013034748 MO Yes

Addresses

Primary practice location

21005 S School Rd
Peculiar, MO 64078-9346

Mailing address

937 Elder CT
Raymore, MO 64083-8292

Other providers in Peculiar, MO

All providers in Peculiar, MO · Speech-Language Assistant in Missouri

Sources for this page

Verify at the official NPI Registry.