Individual
CHARLES RICHARD MORALES II
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
7301 MISSION RD, SUITE 350, PRAIRIE VILLAGE, KS 66208-3006
(913) 642-2100
(913) 642-2127
Mailing address
7301 MISSION RD, SUITE 350, PRAIRIE VILLAGE, KS 66208-3006
(913) 642-2100
(913) 642-2127
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
45864
KS
Other
Enumeration date
05/26/2006
Last updated
07/08/2007
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