Individual
MARY B CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3901 RAINBOW BLVD, DEPT OF INTERNAL MEDICINE, KANSAS CITY, KS 66160
(913) 588-6000
Mailing address
3901 RAINBOW BLVD, 4070 DELP MAIL STOP 4017, KANSAS CITY, KS 66160
(913) 588-6000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
14-74724-032
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
421910
FIRSTGUARD
KS
Enumeration date
10/02/2006
Last updated
07/09/2007
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