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1194496307
LAKEISHA KELLY
KANSAS CITY, MO
NPI
1194496307
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MO 2021016504)
Enumeration Date
2021-09-27
Last Update Date
2021-09-27
Business Address
LAKEISHA KELLY
6119 N EVANS AVE
KANSAS CITY, MO 64151-2162
Phone number: 816-868-0788
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Mailing Address
LAKEISHA KELLY
6119 N EVANS AVE
KANSAS CITY, MO 64151-2162
Phone number: 816-868-0788
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