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Individual

TANAIRI KENNEDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2900 NE 60TH ST STE 100, GLADSTONE, MO 64119-2091
(816) 453-6000
Mailing address
1905 159TH TER, BASEHOR, KS 66007-8701
(913) 972-5097

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
5382574012
KS

Other

Enumeration date
11/07/2023
Last updated
11/07/2023
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