Individual
KELLY D KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLCSW
Contact information
Practice address
1730 PROSPECT AVE, KANSAS CITY, MO 64127-2544
(816) 404-5746
(816) 231-4564
Mailing address
1730 PROSPECT AVE, KANSAS CITY, MO 64127-2544
(816) 404-5746
(816) 231-4564
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2008024828
MO
Other
Enumeration date
08/18/2008
Last updated
08/18/2008
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