Individual
DR. CARLY JAN BURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD, CDE
Contact information
Practice address
2612 NE INDUSTRIAL DR, KANSAS CITY, MO 64117-2648
(169) 053-4438
(866) 739-1839
Mailing address
2612 NE INDUSTRIAL DR, KANSAS CITY, MO 64117-2648
(816) 905-3443
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2013026233
MO
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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