Individual
KALEY IRENE DITTEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-6000
Mailing address
7231 NW OLD TIFFANY SPRINGS RD APT 2108, KANSAS CITY, MO 64153-1837
(816) 248-1718
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2019002400
MO
Other
Enumeration date
03/18/2026
Last updated
03/18/2026
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