Individual
KELSEY BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4963 W 135TH ST, LEAWOOD, KS 66224-6901
(913) 814-8222
Mailing address
4831 W 76TH ST, PRAIRIE VILLAGE, KS 66208-4308
(817) 682-3962
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-81998-112
KS
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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