Individual
KRISTINE FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1580 NE NEAWANNA DR, LEES SUMMIT, MO 64086-5915
(573) 680-6569
Mailing address
1580 NE NEAWANNA DR, LEES SUMMIT, MO 64086-5915
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-00859
KS
Other
Enumeration date
02/11/2016
Last updated
02/11/2016
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