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Individual

KALANIE RAE MCINTOSH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1601 FRANKIE LN, SAINT JOSEPH, MO 64503-3338
(816) 617-6178
Mailing address
2205 N LEONARD RD, SAINT JOSEPH, MO 64506-2571
(816) 248-2079

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary

Other

Enumeration date
02/14/2022
Last updated
02/14/2022
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