Individual
ABBY ALISE KALLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
214 FERREL STREET, PLATTE CITY, MO 64079
(816) 469-5162
Mailing address
1204 N 94TH TER, KANSAS CITY, KS 66112-7700
(918) 639-0292
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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