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Individual

MRS. MARY KAY LEICK-RUDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, MSN, PCNS

Contact information

Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3307
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3307

Taxonomy

Speciality
Code
Description
License number
State
364SP0200X
Pediatric Clinical Nurse Specialist
Primary
055104
MO

Other

Enumeration date
04/25/2006
Last updated
07/08/2007
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