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Individual

KELLY R FRITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP

Contact information

Practice address
1600 NW SOUTH OUTER RD, BLUE SPRINGS, MO 64015-2963
(816) 524-3223
(816) 525-2697
Mailing address
1425 NW BLUE PKWY, LEES SUMMIT, MO 64086-5705
(816) 524-3223
(816) 525-2697

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
089300
MO

Other

Enumeration date
08/23/2005
Last updated
06/13/2011
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