Individual
KELLY LEIGH SHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1214 TILLERY RD, EXCELSIOR SPRINGS, MO 64024-2915
(816) 876-6602
Mailing address
1214 TILLERY RD, EXCELSIOR SPRINGS, MO 64024-2915
(816) 876-6602
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2018044653
MO
Other
Enumeration date
12/21/2018
Last updated
12/21/2018
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