Individual
STACIE IRENE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
10500 QUIVIRA RD, OVERLAND PARK, KS 66215-2306
(913) 541-5340
Mailing address
18471 S CHERRY ST, GARDNER, KS 66030-8106
(913) 948-4692
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
76535
KS
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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