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1699033464
KENNETH CARROLL
INDEPENDENCE, MO
NPI
1699033464
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2012009273)
Enumeration Date
2012-04-30
Last Update Date
2012-04-30
Business Address
-- KENNETH CARROLL RN, NP-C
15708 E 45TH PL S
INDEPENDENCE, MO 64055-5212
Phone number: 816-726-5492
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Mailing Address
-- KENNETH CARROLL RN, NP-C
15708 E. 45TH PL. S.
INDEPENDENCE, MO 64055-5212
Phone number: 816-726-5492
Copy
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