Kelly Leigh Mccracken, DDS

NPI #1780945279 in Kansas City, Kansas

Provider Information

NPI Number: 1780945279
Entity Type: Individual
Name: Kelly Leigh Mccracken, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 31, 2012
Last Updated: May 31, 2012

Practice Location

Address: 8915 STATE AVE
City: Kansas City
State: Kansas
ZIP Code: 66112-1645
Phone: (816) 916-0516

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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