Kendall Staley

NPI #1063222818 in Leavenworth, Kansas

Provider Information

NPI Number: 1063222818
Entity Type: Individual
Name: Kendall Staley
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 13, 2025
Last Updated: Jan 13, 2025

Practice Location

Address: 4100 S 4TH ST
City: Leavenworth
State: Kansas
ZIP Code: 66048-5082
Phone: (913) 758-6118

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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