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Individual

DR. KRISTEN CASEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
4050 PENNSYLVANIA AVE STE 115, PMB 2746, KANSAS CITY, MO 64111
(816) 200-0629
Mailing address
4050 PENNSYLVANIA AVE STE 115, #2746, KANSAS CITY, MO 64111
(816) 200-0629

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2020017924
MO
103TH0004X
Health Psychologist
2020017924
MO

Other

Enumeration date
07/09/2020
Last updated
07/21/2020
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