Provider Demographics
NPI:1821646084
Name:VON DORPOWSKI, ADRIANA (MS)
Entity Type:Individual
Prefix:MRS
First Name:ADRIANA
Middle Name:
Last Name:VON DORPOWSKI
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MRS
Other - First Name:ADRIANA
Other - Middle Name:
Other - Last Name:VON DORPOWSKI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS
Mailing Address - Street 1:6948 ANTIOCH RD
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66204-1259
Mailing Address - Country:US
Mailing Address - Phone:616-570-5683
Mailing Address - Fax:
Practice Address - Street 1:7000 W 121ST ST STE 110
Practice Address - Street 2:
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66209-2011
Practice Address - Country:US
Practice Address - Phone:616-570-5683
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-30
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2019032688235Z00000X
KS1821646084235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist