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General NPI Number Information
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NPI Number | 1255223178
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Entity Type | Individual
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Provider Name | KELSEY REID
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Gender | Female
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Dates
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Enumeration Date | 07/16/2025
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 1950 DIAMOND PKWY
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City | KANSAS CITY
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State | MO
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Zip | 64116-4328
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Country | US
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Telephone | 816-561-3003
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Fax |
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Provider Business Mailing Address
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Address Line | 7733 WARD PARKWAY PLZ
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City | KANSAS CITY
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State | MO
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Zip | 64114-3373
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Country | US
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Telephone | 816-721-0900
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 2025014110
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License Number State | MO
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