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Individual

KELLY ELLEN KAFKA

Active
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Individual

KELLY ELLEN KAFKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2007011381
MO
208600000X
Surgery Physician
75893
GA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
2007011381
MO

Other

Enumeration date
05/12/2007
Last updated
06/21/2022
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