Individual
EILEEN KERSHENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10015 N AMBASSADOR DR, SUITE 101, KANSAS CITY, MO 64153-1437
(816) 891-7162
(816) 891-6704
Mailing address
8515 ENSLEY PL, LEAWOOD, KS 66206-1456
(913) 649-5377
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
001247
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2001247
LICENSE#
MO
Enumeration date
03/23/2007
Last updated
07/14/2014
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