Individual
KELLY LAINE MCGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
801 W 8TH ST, COFFEYVILLE, KS 67337-4109
(620) 251-4300
Mailing address
3011 N MICHIGAN ST, PITTSBURG, KS 66762-2546
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
79138
KS
Other
Enumeration date
05/07/2020
Last updated
05/11/2020
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