Individual
MIKAYLE FRITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 601-4492
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 601-4492
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
LHRAR2504296096-05
MO
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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