Individual
KAITLYN M BALOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9001 STATE LINE RD # 300, KANSAS CITY, MO 64114-3232
(816) 363-2600
(816) 523-0068
Mailing address
9001 STATE LINE RD # 300, KANSAS CITY, MO 64114-3232
(816) 363-2600
(816) 523-0068
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2013001559
MO
363LA2200X
Adult Health Nurse Practitioner
75856
KS
Other
Enumeration date
02/08/2013
Last updated
10/06/2022
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