NPI 1205379468

Lacie Killian, CNA

Practitioner Developmental Therapist Dodge City, KS

Practice location

Address: 1700 Avenue G, Dodge City, KS 67801-4544
Phone: (620) 255-8006
Fax: (620) 371-7304

Registered specialties

Developmental Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Q00000X Licence 180788 (KS)

Other Developmental Therapist providers in Kansas →

Registry record

NPI: 1205379468
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Nov 2016
Record last updated: 21 Nov 2016

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.