Individual
NICOLE KONRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
818 ANN AVE, KANSAS CITY, KS 66101
(785) 232-2044
Mailing address
11860 83RD TER APT 6311, LENEXA, KS 66215-4522
(785) 220-7132
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-03441
KS
225X00000X
Occupational Therapist
2018038321
MO
Other
Enumeration date
05/27/2020
Last updated
05/27/2020
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