Individual
MRS. MARCIA IRENE PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2000 OLATHE BLVD, KANSAS CITY, KS 66160-8505
(913) 588-8147
Mailing address
4900 W 51ST ST, ROELAND PARK, KS 66205-1233
(913) 207-2651
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
23-41298-032
KS
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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