Individual
MRS. KRISTINE D MALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BC ANP
Contact information
Practice address
2330 E MEYER BLVD STE 101, KANSAS CITY, MO 64132-1140
(816) 276-9800
(816) 276-9201
Mailing address
2409 SW CURRENT LN, LEES SUMMIT, MO 64082-4099
(816) 524-5432
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
127507
MO
Other
Enumeration date
10/19/2006
Last updated
02/11/2022
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