Kelly Docking Bracco

NPI 1750547840 - Contractor - 171W00000X

NPI Details
NPI 1750547840
Gender Female
Enumeration Date 07/29/2008
Last Updated 07/29/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
4514 W 72ND ST
PRAIRIE VILLAGE KS, 66208-2818, US
Phone (913) 384-3843
Fax
Business Location
4514 W 72ND ST
PRAIRIE VILLAGE KS, 66208-2818, US
Phone (913) 384-3843
Fax
Toxanomy
Taxonomy Code 171W00000X
License State
License Number
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According to our database, Kelly Docking Bracco NPI is 1750547840, taxonomy code is 171W00000X Kelly Docking Bracco physically located at 4514 W 72nd St, Prairie Village KS, 66208-2818. NPI Number Kelly Docking Bracco has the Individual type.

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1750547840 NPI number is provided on an as is basis without warranty of any kind. 1750547840 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly Docking Bracco are for informational purposes only.