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Bethany Lake
NPI 1669032074 · on the registry since 2019
Practice
- Address
- 248 Ne Barry Rd
Kansas City, MO 64155 - Phone
- (816) 368-8120
- Clinicians at this address
- 31
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-06-18
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 Missouri