Individual
KELSIE MARIE ZIMMERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160-9257
(913) 588-8503
Mailing address
6010 THEDEN ST, SHAWNEE, KS 66218-9257
(913) 961-6897
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
15-02264
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
05/28/2019
Last updated
01/27/2021
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