Individual
KELSEY HAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5261 NE ANTIOCH RD, KANSAS CITY, MO 64119-2646
(816) 448-2061
Mailing address
7151 N WYOMING AVE, KANSAS CITY, MO 64118-8351
(920) 254-2473
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
1-102040
KS
183500000X
Pharmacist
15707-040
WI
183500000X
Pharmacist
Primary
2017010199
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-102040
STATE LICENSE
KS
01
—
15707-040
STATE LICENSE
WI
01
—
2017010199
STATE LICENSE
MO
Enumeration date
05/15/2017
Last updated
05/15/2017
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