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Individual

KENDRA FAGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
4009 NE 56TH TER, GLADSTONE, MO 64119-2270
(816) 277-4601
Mailing address
4009 NE 56TH TER, GLADSTONE, MO 64119-2270
(816) 201-3305

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2010023959
MO

Other

Enumeration date
01/09/2019
Last updated
01/09/2019
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