Individual
KEVIN RYAN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(785) 643-0704
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(785) 643-0704
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2025020602
MO
101YP2500X
Professional Counselor
04147
KS
Other
Enumeration date
11/15/2022
Last updated
10/21/2025
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