Individual
MRS. MARTY J KAISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
550 POPE AVE, MUNSON ARMY HEALTH CENTER, FORT LEAVENWORTH, KS 66027
(913) 684-6338
Mailing address
19310 LANE TREE DR, PLATTE CITY, MO 64079-8369
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2009027754
MO
Other
Enumeration date
10/27/2005
Last updated
10/01/2009
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