Individual
DR. KELLIE A WARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3901 RAINBOW BLVD, 6067 DELP, MAIL STOP 1028, KANSAS CITY, KS 66160
(913) 588-6035
(913) 945-6916
Mailing address
3901 RAINBOW BLVD, 6067 DELP, MAIL STOP 1028, KANSAS CITY, KS 66160
(913) 588-3891
(913) 945-6916
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9407723
KS
207RI0200X
Infectious Disease Physician
Primary
04-40400
KS
207RI0200X
Infectious Disease Physician
9407723
KS
207RI0200X
Infectious Disease Physician
MD60652501
WA
Other
Enumeration date
07/05/2011
Last updated
01/19/2018
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