Individual
KELSEY NICOLE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1318 KANSAS DR, PAOLA, KS 66071-2107
(913) 557-5678
Mailing address
3909 W 141ST DR, LEAWOOD, KS 66224-9714
(913) 522-5670
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
15-02998
KS
Other
Enumeration date
10/12/2024
Last updated
10/12/2024
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