Individual
MRS. KATHLEEN ELIZABETH JANSEN-KRALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNPN
Contact information
Practice address
16 E 63RD ST, KANSAS CITY, MO 64113-1612
(816) 361-1784
Mailing address
16 E 63RD ST, KANSAS CITY, MO 64113-1612
(816) 361-1784
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
079824
MO
363LP0200X
Pediatric Nurse Practitioner
45545
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079824
—
MO
Enumeration date
06/09/2006
Last updated
07/09/2007
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