Individual
KELLY BURNHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
2 E. 59TH STREET, KANSAS CITY, MO 64113
(913) 938-8138
Mailing address
2 E 59TH ST, KANSAS CITY, MO 64113-2116
(913) 938-8138
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2002032349
MO
Other
Enumeration date
05/17/2011
Last updated
05/17/2011
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