Individual
DR. KELLY D KREISLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3901 RAINBOW BLVD, MAIL STOP 4004, KANSAS CITY, KS 66103-2937
(913) 588-5000
Mailing address
407 S CLAIRBORNE RD, SUITE 104, OLATHE, KS 66062-1857
(913) 648-2266
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0429991
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100450850B
—
KS
Enumeration date
04/26/2006
Last updated
01/16/2014
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