MEDICARE: KAITLYN MCGUFFIN M.S. CCC-SLP

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	2021024964	MO

General Provider Information

NPI Number	:	1578336608
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAITLYN MCGUFFIN M.S. CCC-SLP

Provider Business Mailing Address
First Line	:	4110 HARRISON ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64110-1210
Country	:	US
Telephone Number	:	816-529-2061
Fax Number	:

Provider Business Practice Location Address
First Line	:	2575 NE BARRY RD
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64155-2836
Country	:	US
Telephone Number	:	816-437-3711
Fax Number	:

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

Provider Enumeration Date	:	10/31/2023
Last Update Date	:	10/31/2023

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Directions to “ KAITLYN MCGUFFIN M.S. CCC-SLP” Practice Location

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