KRISTINE D MALL

KANSAS CITY, MO
NPI1659453546
Former NameKRISTINE BOENKER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MO  127507)
Enumeration Date2006-10-19
Last Update Date2022-02-11
Business Address
Mrs. KRISTINE D MALL RN BC ANP
2330 E MEYER BLVD STE 101
KANSAS CITY, MO 64132-1140
Phone number: 816-276-9800
Mailing Address
Mrs. KRISTINE D MALL RN BC ANP
2409 SW CURRENT LN
LEES SUMMIT, MO 64082-4099
Phone number: 816-524-5432