Healthcare Provider Details

I. General information

NPI: 1942111570
Provider Name (Legal Business Name): HELEN WILLIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 N 44TH ST
KANSAS CITY KS
66104-3449
US

IV. Provider business mailing address

1000 BRENTWOOD CIR
KANSAS CITY MO
64112-2341
US

V. Phone/Fax

Practice location:
  • Phone: 913-627-6250
  • Fax:
Mailing address:
  • Phone: 816-812-0550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number14492251
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: