Individual
KERRA CISSNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-4194
Mailing address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-4194
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
1-100071
KS
183500000X
Pharmacist
Primary
2016025447
MO
Other
Enumeration date
07/28/2016
Last updated
07/28/2016
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