Healthcare Provider Details

I. General information

NPI: 1568377653
Provider Name (Legal Business Name): CHLOE KINNEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 S HOLDEN ST
WARRENSBURG MO
64093-2306
US

IV. Provider business mailing address

1351 LIBBY MNR
WHITEMAN AFB MO
65305-1311
US

V. Phone/Fax

Practice location:
  • Phone: 660-747-7823
  • Fax:
Mailing address:
  • Phone: 660-238-6915
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: