Individual
KELLY M WEMHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4320 WORNALL RD, STE 710, KANSAS CITY, MO 64111
(816) 932-2700
(816) 932-2705
Mailing address
901 E 104TH ST, MAILSTOP 400S, KANSAS CITY, MO 64131
(816) 502-7117
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2018014358
MO
363AM0700X
Medical Physician Assistant
1553
NE
Other
Enumeration date
01/17/2011
Last updated
12/07/2018
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