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Haven Lackey

NPI 1831068402 · on the registry since 2025

Practice

Address
4141 Dr Martin Luther King Jr Blvd
Kansas City, MO 64130
Phone
(816) 321-3299
Organisation at this address
Pace Kc, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
133V00000X
133V00000X
Also registered as
133V00000X
Licence states on file
MO, KS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-11-03

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