Individual
KRISTIN LEA GERNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.S.W.
Contact information
Practice address
1223 MEADOWLARK LN, KANSAS CITY, KS 66102-1258
(913) 890-7567
Mailing address
4130 OAK ST, KANSAS CITY, MO 64111-1615
(646) 752-4054
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6220
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100098080A
—
KS
01
—
100098080C
SED WAIVER
KS
Enumeration date
03/15/2007
Last updated
01/07/2011
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