Individual
KRISTEN EAGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10105 N BRADFORD AVE, KANSAS CITY, MO 64154-1770
(816) 305-6927
Mailing address
10105 N BRADFORD AVE, KANSAS CITY, MO 64154-1770
(816) 305-6927
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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