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Individual

EMILY M MCNELLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3593
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3593

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
2003005420
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2003005420
MO LICENSE
MO
Enumeration date
05/02/2006
Last updated
07/08/2007
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