Provider Demographics
NPI:1174721633
Name:CAMPION, KRISTINE KATHRYN (MA)
Entity type:Individual
Prefix:MRS
First Name:KRISTINE
Middle Name:KATHRYN
Last Name:CAMPION
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14724 W 83RD PL
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66215-4264
Mailing Address - Country:US
Mailing Address - Phone:913-322-6416
Mailing Address - Fax:
Practice Address - Street 1:8901 W. 74TH ST SUITE 121
Practice Address - Street 2:
Practice Address - City:SHAWNEE MISSION
Practice Address - State:KS
Practice Address - Zip Code:66204
Practice Address - Country:US
Practice Address - Phone:913-261-2223
Practice Address - Fax:913-261-2224
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1071231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist