Individual
KELLY LEIGH MCCRACKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8915 STATE AVE, KANSAS CITY, KS 66112-1645
(816) 916-0516
Mailing address
8915 STATE AVE, KANSAS CITY, KS 66112-1645
(816) 916-0516
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60811
KS
Other
Enumeration date
05/31/2012
Last updated
05/31/2012
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