| Kelly Wittmann, | |
|
10916 N Randolph Ave, Kansas City, MO 64157-8531 | |
| (314) 221-7337 | |
| Not Available |
| Full Name | Kelly Wittmann |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 10916 N Randolph Ave, Kansas City, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659808814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 2004008557 (Missouri) | Primary |
| Provider Name | Aegis Group Practice Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558819508 PECOS PAC ID: 5193036432 Enrollment ID: O20161109000544 |
| Provider Name | Empowerme Wellness Kansas City Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1083208391 PECOS PAC ID: 9830504836 Enrollment ID: O20210308002804 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Wittmann, 10916 N Randolph Ave, Kansas City, MO 64157-8531 Ph: (314) 221-7337 | Kelly Wittmann, 10916 N Randolph Ave, Kansas City, MO 64157-8531 Ph: (314) 221-7337 |
April Atkinson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1021 W 68th Ter, Kansas City, MO 64113 Phone: 816-363-2052 | |
Brynn Larson Schiele, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4025 Central St, Kansas City, MO 64111 Phone: 816-492-6870 | |
Mrs. Jetta Chere Perry, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9400 Eastern Ave, Kansas City, MO 64138 Phone: 816-316-7800 | |
Ms. Candace R Hanna, MA-CCC, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 314 E 70th Ter, Kansas City, MO 64113 Phone: 816-739-9094 | |
Taylor Agarwal, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3101 Broadway Blvd, Kansas City, MO 64111 Phone: 816-234-3000 | |
Jacqueline Griffin, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2000 Ne 46th St, Kansas City, MO 64116 Phone: 816-321-5000 | |
Lisa Meyer, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2000 Ne 46th St, Kansas City, MO 64116 Phone: 816-321-5000 |