Individual
KELLY ANDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10787 NALL AVE, SUITE 310, OVERLAND PARK, KS 66211-1375
(913) 945-6900
(913) 945-6970
Mailing address
10787 NALL AVE, SUITE 310, OVERLAND PARK, KS 66211-1375
(913) 945-6900
(913) 945-6970
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0438218
KS
207R00000X
Internal Medicine Physician
2007015074
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205481609
—
MO
Enumeration date
05/01/2007
Last updated
02/03/2017
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