Individual
CHRISTINE RUTHANNE SLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2316 E MEYER BLVD, 1 EAST, KANSAS CITY, MO 64132-1199
(816) 974-5050
(816) 683-7645
Mailing address
PO BOX 749495, ATLANTA, GA 30374-9495
(855) 963-2100
(813) 321-1296
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2023037602
MO
363LF0000X
Family Nurse Practitioner
Primary
2023037602
MO
Other
Enumeration date
01/23/2017
Last updated
07/24/2025
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