Individual
KATHRYN MICHELLE PUTNAM REZAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2100 SE BLUE PKWY, LEES SUMMIT, MO 64063-1007
(816) 282-5000
Mailing address
18167 US HIGHWAY 19 N, SUITE 650, CLEARWATER, FL 33764-3528
(800) 507-8874
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
1500996
KS
363AM0700X
Medical Physician Assistant
Primary
2005001379
MO
Other
Enumeration date
10/20/2006
Last updated
06/29/2015
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