Provider Demographics
NPI:1235260159
Name:HALPIN, KATHY SUE (MA)
Entity Type:Individual
Prefix:
First Name:KATHY
Middle Name:SUE
Last Name:HALPIN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10415 BLUEJACKET ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66214-3006
Mailing Address - Country:US
Mailing Address - Phone:913-888-2203
Mailing Address - Fax:913-588-8948
Practice Address - Street 1:10415 BLUEJACKET ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66214-3006
Practice Address - Country:US
Practice Address - Phone:913-888-2203
Practice Address - Fax:913-588-8948
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS316235Z00000X
MO2006008747235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist