Individual
KETIA K ORDEUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
456 LILLY LN, LIBERTY, MO 64068-2712
(816) 785-3019
Mailing address
3621 WARWICK BLVD, KANSAS CITY, MO 64111-1403
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MO
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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