Individual
CHARLES GILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
7229 WALNUT ST, KANSAS CITY, MO 64114-1442
(816) 333-1695
Mailing address
2205 W 36TH AVE, KANSAS CITY, KS 66103-2107
(913) 956-5620
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
117061
KS
Other
Enumeration date
05/16/2014
Last updated
05/16/2014
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