Individual
MRS. KATHLEEN ANN PROBASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4440 BROADWAY ST, KANSAS CITY, MO 64111
(816) 960-4788
(816) 561-0110
Mailing address
4440 BROADWAY ST, KANSAS CITY, MO 64111
(816) 960-4788
(816) 561-0110
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2001001901
MO
Other
Enumeration date
05/27/2008
Last updated
05/27/2008
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