KENNETH CARROLL

INDEPENDENCE, MO
NPI1699033464
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MO  2012009273)
Enumeration Date2012-04-30
Last Update Date2012-04-30
Business Address
-- KENNETH CARROLL RN, NP-C
15708 E 45TH PL S
INDEPENDENCE, MO 64055-5212
Phone number: 816-726-5492
Mailing Address
-- KENNETH CARROLL RN, NP-C
15708 E. 45TH PL. S.
INDEPENDENCE, MO 64055-5212
Phone number: 816-726-5492
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