Healthcare Provider Details

I. General information

NPI: 1033039433
Provider Name (Legal Business Name): AUBRIE PENFIELD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8400 N MARSTON AVE
KANSAS CITY MO
64154-1254
US

IV. Provider business mailing address

842 CANYON LN
LANSING KS
66043-4503
US

V. Phone/Fax

Practice location:
  • Phone: 816-542-2732
  • Fax:
Mailing address:
  • Phone: 913-306-1418
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberIA-0008390994
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: