Individual
KAITLYN MARIE BANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
211 NE 54TH ST STE 201, KANSAS CITY, MO 64118-4330
(816) 453-6777
(816) 454-3601
Mailing address
9411 N OAK TRFY STE LL1, KANSAS CITY, MO 64155-2262
(816) 691-1655
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2024014576
MO
Other
Enumeration date
05/15/2024
Last updated
06/17/2024
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