Individual
MR. EDWARD FRANKLIN DULLENTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN BSNMA
Contact information
Practice address
300 SE 2ND STREET, SUITE 100, LEES SUMMIT, MO 64063
(816) 404-6193
Mailing address
3719 JEFFERSON STREET, KANSAS CITY, MO 64111
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
085700
MO
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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