Individual
JOYCE MARIE KALLENBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8200 NW WEATHERBY DR, WEATHERBY LAKE, MO 64152-1596
(816) 694-5494
Mailing address
8200 NW WEATHERBY DR, WEATHERBY LAKE, MO 64152-1596
(816) 694-5494
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2004011316
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2004011316
DIVISION OF PROFESSIONAL REGISTRATION
MO
Enumeration date
06/03/2019
Last updated
06/03/2019
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