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Individual

DR. BREANN MICHELLE KELLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2790 CLAY EDWARDS DR STE 600, NORTH KANSAS CITY, MO 64116-3274
(816) 691-5048
(816) 455-5351
Mailing address
9411 N OAK TRFY STE LL1, KANSAS CITY, MO 64155-2262
(816) 691-1655

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2007022739
MO
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
2007022739
MO
208M00000X
Hospitalist Physician
2007022739
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1205870227
MO
Enumeration date
06/16/2006
Last updated
01/19/2024
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