MEDICARE: SPEECH AND SWALLOWING SPECIALISTS OF KANSAS CITY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1285296764
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPEECH AND SWALLOWING SPECIALISTS OF KANSAS CITY LLC

Provider Business Mailing Address
First Line	:	6711 OAK ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64113-2442
Country	:	US
Telephone Number	:	913-484-2583
Fax Number	:

Provider Business Practice Location Address
First Line	:	6711 OAK ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64113-2442
Country	:	US
Telephone Number	:	913-484-2583
Fax Number	:

Authorized Official
Title or Position	:	SPEECH LANGUAGE PATHOLOGIST, OWNER
Name	:	MRS. JENNIFER MARIE HURST
Credential	:	MS CCC-SLP
Telephone Number	:	913-484-2583

Provider Enumeration Date	:	07/03/2019
Last Update Date	:	07/03/2019

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