Individual
HEIDI RENEE INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9009 N MANNING AVE, KANSAS CITY, MO 64157-9569
(816) 519-2480
Mailing address
9009 N MANNING AVE, KANSAS CITY, MO 64157-9569
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2009017995
MO
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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