Individual
CELESTE A ANGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
11550 GRANADA ST, LEAWOOD, KS 66211-1453
(913) 451-7546
(913) 663-2411
Mailing address
11550 GRANADA ST, LEAWOOD, KS 66211-1453
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
05-32519
KS
Other
Enumeration date
06/29/2007
Last updated
10/12/2015
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