Individual
KAITLIN MARIE CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
13116 FAWN CREEK RD, HIGHLAND, IL 62249-2828
(618) 975-4876
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
019.035868
IL
Other
Enumeration date
03/15/2023
Last updated
07/08/2025
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