Provider Demographics
NPI:1346725132
Name:STONER, CONNIE KAY (MA SPEECH PATHOLOGY)
Entity Type:Individual
Prefix:
First Name:CONNIE
Middle Name:KAY
Last Name:STONER
Suffix:
Gender:F
Credentials:MA SPEECH PATHOLOGY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 E LINWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64128-1544
Mailing Address - Country:US
Mailing Address - Phone:816-921-1213
Mailing Address - Fax:
Practice Address - Street 1:2800 E LINWOOD BLVD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64128-1544
Practice Address - Country:US
Practice Address - Phone:816-921-1213
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-27
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist