Provider Demographics
NPI:1477148682
Name:BLAIR, KARI (MS,CCC-SLP)
Entity Type:Individual
Prefix:
First Name:KARI
Middle Name:
Last Name:BLAIR
Suffix:
Gender:F
Credentials:MS,CCC-SLP
Other - Prefix:
Other - First Name:KARI
Other - Middle Name:L
Other - Last Name:BLAIR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:8032 ROBINSON ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66204-3468
Mailing Address - Country:US
Mailing Address - Phone:816-808-1657
Mailing Address - Fax:
Practice Address - Street 1:8032 ROBINSON ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66204-3468
Practice Address - Country:US
Practice Address - Phone:816-808-1657
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-09
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2632235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist