Individual
BARBARA DIANN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
901 E 104TH ST, KANSAS CITY, MO 64131-4517
(816) 251-5700
Mailing address
901 E 104TH ST, KANSAS CITY, MO 64131-4517
(816) 251-5700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-79016-052
KS
Other
Enumeration date
01/27/2020
Last updated
01/14/2021
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