Kelley, Breann Michelle
Kelley, Breann Michelle is an individual health care provider with primary practice located at 2790 Clay Edwards Dr Ste 600 , North Kansas City MO 64116-3274. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obesity Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Kelley, Breann Michelle can be contacted via phone (816) 691-5048.Contact Information
Primary practice address
2790 Clay Edwards Dr Ste 600
North Kansas City MO 64116-3274
Phone: (816) 691-5048
Fax: (816) 455-5351
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obesity Medicine | 2083B0002X | 2007022739 | Missouri |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 2007022739 | Missouri |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2007022739 | Missouri |
Profile Details
NPI number | 1205870227 |
---|---|
LBN Legal business name | Kelley, Breann Michelle |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 16th, 2006 |
Last updated | Jan 19th, 2024 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1205870227 | NPPES |
Missouri | MEDICAID | 1205870227 |
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