Doctor Name: | KELLY LOUGHRIE SZALA |
NPI Number: | 1326091539 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | WHNP |
License Number: | 145912 |
Business Practice Address: | 601 S 169 Hwy Smithville, MO - 640899317 |
Business Phone Number: | 8165327164 |
Business Fax Number: | |
Mailing Address: | 7801 N Revere, KANSAS CITY |
State: | MO |
Postal Code: | 64151 |
Phone Number: | 8165052630 |
Fax Number: | |
NPI Enumeration Date: | 05/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | 145912 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |