Individual
KELLIE MARIE FRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1914 SWIFT AVE, NORTH KANSAS CITY, MO 64116-3447
(816) 691-4156
Mailing address
1451 NW 38TH ST APT 110, KANSAS CITY, MO 64116-4554
(660) 635-1392
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2018022898
MO
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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