Individual
CARISSA LYNN STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3901 RAINBOW BLVD, MAIL STOP 1037, KANSAS CITY, KS 66160-0001
(913) 588-6329
Mailing address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
(913) 588-6329
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
04-35358
KS
Other
Enumeration date
02/26/2007
Last updated
01/11/2017
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