Individual
SUSAN LEE KIRKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADULT PSYCH MH NP
Contact information
Practice address
724 N 22ND ST, SAINT JOSEPH, MO 64506-2604
(816) 364-1501
(816) 364-6735
Mailing address
724 N 22ND ST, SAINT JOSEPH, MO 64506-2604
(816) 364-1501
(816) 364-6735
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
150726
MO
Other
Enumeration date
08/30/2013
Last updated
08/30/2013
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