Individual
MRS. DAWN LYNETTE PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
20 NE SAINT LUKES BOULEVARD, SUITE #350, LEE'S SUMMIT, MO 64086-6007
(816) 524-5333
(816) 524-4325
Mailing address
20 NE SAINT LUKES BOULEVARD, SUITE #350, LEE'S SUMMIT, MO 64086-6007
(816) 524-5333
(816) 524-4325
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-75468-111
KS
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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