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
Fax: (816) 455-5351
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205870227 NPPES
Missouri MEDICAID 1205870227

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