Individual
MRS. KELLY LYNN GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6740 W 121ST ST, SUITE 195, LEAWOOD, KS 66209
(913) 388-7016
Mailing address
6740 W 121ST ST, SUITE 195, LEAWOOD, KS 66209
(913) 388-7016
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2008001522
MO
207Q00000X
Family Medicine Physician
2015006727
MO
207Q00000X
Family Medicine Physician
Primary
5377973121
KS
363LF0000X
Family Nurse Practitioner
2015006727
MO
Other
Enumeration date
02/26/2015
Last updated
03/22/2023
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