Individual
KELSEY DIRKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 MEADOWBROOK DR, KEARNEY, MO 64060-8553
(816) 744-8116
Mailing address
200 MEADOWBROOK DR, KEARNEY, MO 64060-8553
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2013045759
MO
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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