Individual
KAYLA JANAE SLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
300 SOUTHWEST BLVD, KANSAS CITY, KS 66103-2150
(913) 722-3100
Mailing address
7442 JEFFERSON ST, KANSAS CITY, MO 64114-1520
(620) 218-2402
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5379391082
KS
Other
Enumeration date
02/14/2021
Last updated
02/14/2021
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