NPI 1063702256

Blaine Lauren Coppaken, SLP

Practitioner Audiologist Overland Park, KS

Practice location

Address: 5211 W 103rd St, Overland Park, KS 66207-3154
Phone: (913) 383-2569
Fax: (913) 383-2611
Mailing address: 13149 Birch St, Overland Park, KS 66209-2917

Registered specialties

Audiologist Primary

Speech, Language and Hearing Service Providers Taxonomy 231H00000X Licence 2975 (KS)

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Registry record

NPI: 1063702256
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Apr 2011
Record last updated: 9 Apr 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.