Individual
KRISTIN M KAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
60 PEACEFUL RIDGE RD, GALENA, MO 65656-7467
(816) 258-4669
Mailing address
60 PEACEFUL RIDGE RD, GALENA, MO 65656-7467
(816) 258-4669
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
11343-123
WI
1041C0700X
Clinical Social Worker
2023006794
MO
1041C0700X
Clinical Social Worker
Primary
LSCSW 4414
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200736830A
—
KS
Enumeration date
08/22/2011
Last updated
12/11/2023
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