Individual
MICHAEL CARROLL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66103-2937
(913) 588-6500
Mailing address
3901 RAINBOW BLVD, KANSAS CITY, KS 66103-2937
(913) 588-6500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5374981032
KS
Other
Enumeration date
12/09/2009
Last updated
12/09/2009
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