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Individual

ANJA ILEEN ISMERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
305 S PLATTE CLAY WAY, STE A, KEARNEY, MO 64060-8214
(816) 628-4409
(816) 628-5783
Mailing address
PO BOX 219672, KANSAS CITY, MO 64121-9672
(816) 628-4409
(816) 628-5783

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
125822
MO
363LF0000X
Family Nurse Practitioner
14-96867-032
KS

Other

Enumeration date
03/29/2006
Last updated
09/25/2014
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