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Individual

SEAN SPERL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
1525 E 23RD ST S, INDEPENDENCE, MO 64055-1670
(816) 404-9800
(816) 404-9801
Mailing address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-3744

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2011002739
MO
363LF0000X
Family Nurse Practitioner
Primary
2016016600
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
420034083
MO
Enumeration date
06/13/2016
Last updated
12/22/2020
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