Individual
MRS. MARY KATHLEEN MCQUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
17065 S 71 HYW, BELTON, MO 64012-2165
(816) 348-1200
Mailing address
17065 S 71 HYW, BELTON, MO 64012-2165
(816) 348-1200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2014037190
MO
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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