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1053778787
KELLY BUSH
KANSAS CITY, MO
NPI
1053778787
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: MO 2016000625)
Enumeration Date
2016-01-26
Last Update Date
2017-11-15
Business Address
KELLY BUSH APN
4400 BROADWAY SUITE 520
KANSAS CITY, MO 64111-3498
Phone number: 816-531-4080
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Mailing Address
KELLY BUSH APN
901 E 104TH ST MAILSTOP 400
KANSAS CITY, MO 64131
Phone number: 816-599-9499
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