Individual
KELBY RAE SCHROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 NE SAINT LUKES BLVD STE 200, LEES SUMMIT, MO 64086-6001
(816) 347-5000
(816) 347-5136
Mailing address
901 E. 104TH ST., MAILSTOP 400N, KANSAS CITY, MO 64131
(816) 502-7104
(816) 932-9670
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
14-142290-021
KS
163W00000X
Registered Nurse
2013019585
MO
363LF0000X
Family Nurse Practitioner
Primary
2018001754
MO
363LF0000X
Family Nurse Practitioner
53-78033-021
KS
Other
Enumeration date
01/10/2018
Last updated
02/23/2018
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