Individual
DR. JAMES KELLY MCENTIRE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
241 NW MCNARY CT, LEES SUMMIT, MO 64086-4011
(816) 347-0064
(816) 347-0593
Mailing address
241 NW MCNARY CT, LEES SUMMIT, MO 64086-4011
(816) 347-0064
(816) 347-0593
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
101255
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24812488
—
MO
Enumeration date
06/05/2006
Last updated
07/08/2007
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