Healthcare Provider Details

I. General information

NPI: 1467051813
Provider Name (Legal Business Name): QIAO YING LI SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: YUKI LI SLP

II. Dates (important events)

Enumeration Date: 10/17/2020
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12500 W 135TH ST
OVERLAND PARK KS
66221-9323
US

IV. Provider business mailing address

13500 W 135TH ST
OVERLAND PARK KS
66221
US

V. Phone/Fax

Practice location:
  • Phone: 913-374-2130
  • Fax: 913-273-2635
Mailing address:
  • Phone: 913-374-2130
  • Fax: 913-273-2635

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number115864
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2019027150
License Number StateMO
# 3
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number5690
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: