Individual
KELLY DIANNE COLVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1301 N 47TH ST, KANSAS CITY, KS 66102-1705
(913) 233-3300
(913) 233-3350
Mailing address
1301 N 47TH ST, KANSAS CITY, KS 66102-1705
(913) 233-3300
(913) 233-3350
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11124
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100098080A
—
KS
05
—
100098080C
—
KS
Enumeration date
11/30/2018
Last updated
11/30/2018
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