NPI 1265667851

Kimberly Sue Childress, MSOTRL

Practitioner Developmental Therapist Nortonville, KS

Practice location

Address: 2901 Ellsworth Rd, Nortonville, KS 66060-5019
Phone: (417) 499-1885
Fax: (954) 212-2411

Registered specialties (3)

Developmental Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Q00000X Licence 1702306 (KS)

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Registry record

NPI: 1265667851
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 May 2009
Record last updated: 26 May 2009

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.