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1497239834
KRISHA KACKLEY
OVERLAND PARK, KS
NPI
1497239834
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KS 24-01240)
Enumeration Date
2018-09-21
Last Update Date
2018-09-21
Business Address
KRISHA KACKLEY
10790 NALL AVE
OVERLAND PARK, KS 66211-1206
Phone number: 316-300-1047
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Mailing Address
KRISHA KACKLEY
10242 W 80TH ST APT 213
OVERLAND PARK, KS 66204-4706
Phone number: 316-300-1047
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