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Individual

DR. KRIS M VACEK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTD, OTR/L

Contact information

Practice address
8900 STATE LINE RD, STE. 333, LEAWOOD, KS 66206-1960
(913) 491-9404
(913) 754-0365
Mailing address
131 W 61ST TER, KANSAS CITY, MO 64113-1455
(816) 405-8494

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004094
MO

Other

Enumeration date
04/12/2012
Last updated
04/12/2012
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