Provider Demographics
NPI:1750036521
Name:KV SPEECH THERAPY ACHIEVING WELLNESS
Entity Type:Organization
Organization Name:KV SPEECH THERAPY ACHIEVING WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:COLIN
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:316-806-0638
Mailing Address - Street 1:3211 N BRUSH CREEK ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67205-8736
Mailing Address - Country:US
Mailing Address - Phone:316-806-0638
Mailing Address - Fax:316-669-9629
Practice Address - Street 1:3211 N BRUSH CREEK ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67205-8736
Practice Address - Country:US
Practice Address - Phone:316-806-0638
Practice Address - Fax:316-669-9629
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-19
Last Update Date:2022-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech