Skretta, Kelly D

Skretta, Kelly D is an individual health care provider with primary practice located at 2700 Clay Edwards Dr Ste 400 , North Kansas City MO 64116-3270. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Skretta, Kelly D can be contacted via phone (164) 214-2408.

Contact Information

Primary practice address
2700 Clay Edwards Dr Ste 400 North Kansas City MO 64116-3270
Phone: (164) 214-2408
Fax: (816) 421-5015
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2010009589 Missouri

Profile Details

NPI number 1528381050
LBN Legal business name Skretta, Kelly D
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2010
Last updated Jun 9th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528381050 NPPES
Missouri MEDICAID 1528381050

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