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NPI Code Detail

MEDICARE: SIENNA MARSALA KINKELO

MEDICARE:   SIENNA MARSALA KINKELO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1306791652
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIENNA MARSALA KINKELO
Provider Business Mailing Address
First Line : 710 E KANSAS AVE
Second Line :
City : INDEPENDENCE
State : MO
Zip : 64050-4013
Country : US
Telephone Number : 816-474-3995
Fax Number :
Provider Business Practice Location Address
First Line : 19201 E VALLEY VIEW PKWY STE H
Second Line :
City : INDEPENDENCE
State : MO
Zip : 64055-6913
Country : US
Telephone Number : 816-474-3995
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2026
Last Update Date : 03/02/2026

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Directions to “ SIENNA MARSALA KINKELO ” Practice Location

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