Individual
KATHLEEN BRAINERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-6350
(816) 271-6753
Mailing address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-6350
(816) 271-6753
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2024019268
MO
374U00000X
Home Health Aide
—
—
Other
Enumeration date
04/28/2020
Last updated
10/09/2024
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