MEDICARE: CATHY KRIEGSHAUSER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	00666	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225152382
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHY KRIEGSHAUSER

Provider Business Mailing Address
First Line	:	9000 OLD SANTA FE RD
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64138-3913
Country	:	US
Telephone Number	:	816-316-7060
Fax Number	:	816-316-7113

Provider Business Practice Location Address
First Line	:	9000 OLD SANTA FE RD
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64138-3913
Country	:	US
Telephone Number	:	816-316-7060
Fax Number	:	816-316-7113

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2007
Last Update Date	:	02/24/2012

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Directions to “ CATHY KRIEGSHAUSER ” Practice Location

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