Individual
MRS. ANGELA A KNEISLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
19550 E 39TH ST S STE 310, INDEPENDENCE, MO 64057-2306
(816) 478-8113
(816) 478-8108
Mailing address
19550 E 39TH ST S, INDEPENDENCE, MO 64057-2358
(816) 478-8113
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2019001504
MO
Other
Enumeration date
01/24/2019
Last updated
07/21/2022
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