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Individual

DR. PRISCILLA AGALI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
4101 S 4TH ST, LEAVENWORTH, KS 66048
(913) 682-2000
Mailing address
11912 N TRACY ST, KANSAS CITY, MO 64155-1281
(816) 686-7699

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
53-77959-101
KS

Other

Enumeration date
02/06/2014
Last updated
03/06/2019
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