Individual
KELLYE MCCRARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6631 WALROND AVE, KANSAS CITY, MO 64132-1255
(913) 963-0643
Mailing address
6631 WALROND AVE, KANSAS CITY, MO 64132-1255
(913) 963-0643
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/12/2016
Last updated
06/12/2016
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