Individual
KELLY D SKRETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2700 CLAY EDWARDS DR STE 400, NORTH KANSAS CITY, MO 64116-3270
(164) 214-2408
(816) 421-5015
Mailing address
2700 CLAY EDWARDS DR STE 400, NORTH KANSAS CITY, MO 64116-3270
(164) 214-2408
(816) 421-5015
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2010009589
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528381050
—
MO
Enumeration date
03/11/2010
Last updated
06/09/2022
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