Individual
RAE ANN KINGSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
003428
CT
363LP0200X
Pediatric Nurse Practitioner
110350
NE
363LP0200X
Pediatric Nurse Practitioner
2013013677
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00426876
—
CT
Enumeration date
11/01/2006
Last updated
07/25/2013
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