Most Relevant Information
Provider Data
| NPI Number: | 1003473778 |
| Provider Name: | KELSIE MARIE ZIMMERMAN |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/28/2019 |
| Last Updated: | 01/27/2021 |
Provider Practice Location
4000 CAMBRIDGE ST
KANSAS CITY
KS
661609257
Practice Location Phone/Fax
| Phone: | 9135888503 |
| Fax: |
Provider Mailing Location
6010 THEDEN ST
SHAWNEE
KS
662189257
Provider Mailing Phone/Fax
| Phone: | 9139616897 |
| Fax: |