Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristen Lynn Shores, CCC-MA

Individual provider Speech-Language Pathologist · NPI 1457684854

Kristen Lynn Shores, CCC-MA is a Speech-Language Pathologist in Hannibal, Missouri. Licensed in Missouri. Registered with an NPI since 2009.

Licensed in
MO
In the registry since
2009
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Practice location Address checks out

4650 McMasters Ave
Hannibal, MO 63401-2244
Phone: (573) 221-1258
Fax: (573) 221-2994
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 2009024735 (MO)

Record details

NPI number1457684854
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-MA
Sole proprietorNo
NPI enumeratedSeptember 16, 2009
Last updated in NPPESJanuary 22, 2020
Certification dateJanuary 22, 2020

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