Provider Demographics
NPI:1013327329
Name:MOBILE FEES KC, INC.
Entity Type:Organization
Organization Name:MOBILE FEES KC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:816-282-6017
Mailing Address - Street 1:923 NE WOODS CHAPEL RD
Mailing Address - Street 2:STE 255
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64064-1989
Mailing Address - Country:US
Mailing Address - Phone:816-282-6017
Mailing Address - Fax:
Practice Address - Street 1:923 NE WOODS CHAPEL RD
Practice Address - Street 2:STE 255
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64064-1989
Practice Address - Country:US
Practice Address - Phone:816-282-6017
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-08
Last Update Date:2014-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008031577261QH0700X
KS3092261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech