Basic Information
Provider Information
NPI: 1811301096
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DENNING
FirstName: BETHANY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
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OtherCredential:  
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Mailing Information
Address1: 23684 W 125TH ST
Address2:  
City: OLATHE
State: KS
PostalCode: 660616301
CountryCode: US
TelephoneNumber: 9136024052
FaxNumber:  
Practice Location
Address1: 2401 GILLHAM RD
Address2:  
City: KANSAS CITY
State: MO
PostalCode: 641084619
CountryCode: US
TelephoneNumber: 8162343000
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/16/2014
LastUpdateDate: 06/16/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
235Z00000X2730KSY Speech, Language and Hearing Service ProvidersSpeech-Language Pathologist 

No ID Information.


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