KRIS JAY FUCANAN

GRANDVIEW, MO
NPI1306571286
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MO  2022014622)
Enumeration Date2022-07-23
Last Update Date2022-07-23
Business Address
KRIS JAY FUCANAN MD
13013 FULLER AVE STE A
GRANDVIEW, MO 64030-2687
Phone number: 816-214-5548
Mailing Address
KRIS JAY FUCANAN MD
13013 FULLER AVE STE A
GRANDVIEW, MO 64030-2687
Phone number: 816-214-5548
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