Individual
RAYCINIA KIMLAYANA ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2000 NE VIVION RD STE 100, KANSAS CITY, MO 64118-6100
(816) 453-1314
(816) 453-3434
Mailing address
9411 N OAK TRFY STE LL1, KANSAS CITY, MO 64155-2262
(816) 691-1655
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2018010292
MO
Other
Enumeration date
07/06/2006
Last updated
03/16/2023
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