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Individual

CAROL A DANIEL

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) 234-3674
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619

Taxonomy

Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
04-29630
KS
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
2003001997
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
206015109
MO
Enumeration date
06/08/2006
Last updated
12/04/2014
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