Individual
KAITLYN KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
8702 W 49TH TER, MERRIAM, KS 66203-1710
(417) 350-8831
Mailing address
8806 W 49TH TER, MERRIAM, KS 66203-1712
(417) 350-8831
(816) 836-2923
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
011342
MO
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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