Individual
MRS. COLLEEN RENEE CERNICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
4801 E LINWOOD BLVD, ., KANSAS CITY, MO 64128-2226
(816) 861-4700
Mailing address
7905 QUAIL RDG, PARKVILLE, MO 64152-4388
(816) 505-0024
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1500668
KS
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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