| Doctor Name: | KATHY MARIE PERSELL |
| NPI Number: | 1033379771 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 1482353011 |
| Business Practice Address: | 2027 Ne Cookson St Lees Summit, MO - 640866307 |
| Business Phone Number: | 8165250386 |
| Business Fax Number: | 8162461664 |
| Mailing Address: | 2027 Ne Cookson St, LEES SUMMIT |
| State: | MO |
| Postal Code: | 640866307 |
| Phone Number: | 8165250386 |
| Fax Number: | 8162461664 |
| NPI Enumeration Date: | 06/16/2008 |
| NPI Last Update Date: | 06/16/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0400X |
| License Number: | 1482353011 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Case Management |
| Taxonomy Definition: | |