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Individual

KEITH E TRAMMELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
2340 E MEYER BLVD, BLDG 2, SUITE 392, KANSAS CITY, MO 64132-6413
(816) 444-7977
Mailing address
901 MCCLINTOCK DR STE 202, BURR RIDGE, IL 60527-0872
(630) 655-6748

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2020009541
MO

Other

Enumeration date
03/19/2020
Last updated
06/22/2020
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