Individual
KENDRA ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
29109 SE OUTER RD, HARRISONVILLE, MO 64701-6328
(816) 804-0252
Mailing address
29109 SE OUTER RD, HARRISONVILLE, MO 64701-6328
(816) 804-0252
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2021001817
MO
Other
Enumeration date
03/29/2021
Last updated
03/29/2021
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