Provider Demographics
NPI:1740982438
Name:SUNFLOWER SPEECH KANSAS, LLC
Entity type:Organization
Organization Name:SUNFLOWER SPEECH KANSAS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CCC-SLP
Authorized Official - Prefix:
Authorized Official - First Name:CHLOE
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:GAGNA
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:720-480-7900
Mailing Address - Street 1:2213 CENTENNIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-2304
Mailing Address - Country:US
Mailing Address - Phone:720-480-7900
Mailing Address - Fax:
Practice Address - Street 1:2213 CENTENNIAL BLVD
Practice Address - Street 2:
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601-2304
Practice Address - Country:US
Practice Address - Phone:720-480-7900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty