Individual
KELSEY J KLEINSASSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4240 BLUE RIDGE BLVD, SUITE 1000, KANSAS CITY, MO 64133-1713
(816) 358-3600
(816) 358-9903
Mailing address
4240 BLUE RIDGE BLVD, SUITE 1000, KANSAS CITY, MO 64133-1713
(816) 358-3600
(816) 358-9903
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
200160787
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
315243311
—
MO
Enumeration date
10/11/2005
Last updated
03/22/2010
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