Individual
KYLIE DISHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5210 N BELT HWY, SAINT JOSEPH, MO 64506-1211
(816) 271-7077
(816) 271-0421
Mailing address
1115 N BELT HWY, SAINT JOSEPH, MO 64506-2410
(816) 271-7077
(816) 271-0421
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2007023567
MO
Other
Enumeration date
02/10/2015
Last updated
03/17/2018
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