Individual
KATHERINE PATTERSON KELLY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN, MCCNS
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3080
Mailing address
5120 NE ASH GROVE DR, LEES SUMMIT, MO 64064-1303
(816) 478-4084
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
093855
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
093855
NURSING LICENSE
MO
Enumeration date
06/05/2006
Last updated
07/08/2007
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