Individual
KATHLEEN STOCKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1211 MCGEE ST, ROOM 905-C, KANSAS CITY, MO 64106-2416
(816) 418-7840
(816) 418-1805
Mailing address
1211 MCGEE ST, ROOM 905-C, KANSAS CITY, MO 64106-2416
(816) 418-7840
(816) 418-1805
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2004011458
MO
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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