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Individual

LISABET KENNEDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, MSN, NP-C

Contact information

Practice address
4330 WORNALL RD STE 2000, KANSAS CITY, MO 64111
(816) 751-8818
Mailing address
901 E. 104TH ST, MAILSTOP 400N, KANSAS CITY, MO 64131
(816) 502-7104
(816) 932-9670

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2017004728
MO
363LF0000X
Family Nurse Practitioner
77623
KS

Other

Enumeration date
03/07/2017
Last updated
08/17/2018
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