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Krisha Kackley
NPI 1497239834 · on the registry since 2018 · sole proprietor
Practice
- Address
- 10790 Nall Ave
Overland Park, KS 66211 - Phone
- (316) 300-1047
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- KS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-09-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas