LILLY MAY HAVENER

KANSAS CITY, MO
NPI1043881543
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: KS  83-80260-101)
Enumeration Date2021-07-06
Last Update Date2021-09-03
Business Address
LILLY MAY HAVENER NP
1000 CARONDELET DR STE 201B
KANSAS CITY, MO 64114-4673
Phone number: 913-956-2250
Mailing Address
LILLY MAY HAVENER NP
201 NW R.D. MIZE RD PROVIDER ENROLLMENT SUITE 210
BLUE SPRINGS, MO 64014
Phone number:
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