Individual
SUZIE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3515 BROADWAY BLVD, KANSAS CITY, MO 64111-2501
(816) 753-5144
Mailing address
3515 BROADWAY BLVD, KANSAS CITY, MO 64111-2501
(816) 753-5144
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2022041568
MO
363LF0000X
Family Nurse Practitioner
TMP-161142
KS
Other
Enumeration date
10/19/2022
Last updated
04/26/2023
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