Healthcare Provider Details

I. General information

NPI: 1457057366
Provider Name (Legal Business Name): COMPLETE COMMUNICATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2023
Last Update Date: 02/02/2023
Certification Date: 02/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4859 SKYLINE DR
ROELAND PARK KS
66205-1145
US

IV. Provider business mailing address

4859 SKYLINE DR
ROELAND PARK KS
66205-1145
US

V. Phone/Fax

Practice location:
  • Phone: 913-206-3361
  • Fax:
Mailing address:
  • Phone: 913-206-3361
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINA CARSON
Title or Position: SPEECH LANGUAGE PATHOLOGIST
Credential: MA CCC-SLP
Phone: 913-206-3361