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Individual

CALLIE M CALLAHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1615 PARKER AVE, OSAWATOMIE, KS 66064-1703
(913) 660-1616
Mailing address
36123 SCHOOLCRAFT RD, LIVONIA, MI 48150-1216
(913) 660-1616
(913) 660-1664

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
2013001553
MO
363LA2200X
Adult Health Nurse Practitioner
Primary
53-75761-021
KS

Other

Enumeration date
11/28/2012
Last updated
04/06/2018
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