Individual
MRS. MARY REBECCA KELLAM-UPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN FNP
Contact information
Practice address
2316 E MEYER BLVD, KANSAS CITY, MO 64132-1136
(816) 276-4700
(816) 276-4700
Mailing address
2316 E MEYER BLVD, KANSAS CITY, MO 64132-1136
(816) 276-4700
(816) 276-3810
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
079829
MO
363LF0000X
Family Nurse Practitioner
45130
KS
Other
Enumeration date
02/10/2006
Last updated
01/28/2022
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