Individual
CAMRI MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
420 NE THAMES DR, LEES SUMMIT, MO 64086-5587
(620) 423-5358
Mailing address
420 NE THAMES DR, LEES SUMMIT, MO 64086-5587
(620) 423-5358
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
13-141838-092
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13-141838-092
NURSING LICENSE
KS
Enumeration date
06/03/2025
Last updated
06/03/2025
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