Individual
CHALISE J ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 E 24TH ST, KANSAS CITY, MO 64108-2776
(816) 965-1150
Mailing address
5228 MERSINGTON AVE, KANSAS CITY, MO 64130
(816) 986-7096
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2012019645
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841235298
—
MO
Enumeration date
06/08/2017
Last updated
06/08/2017
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