Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0204X | Pediatric Emergency Doctor | 2007018580 | MO |
N | 2080P0204X | Pediatric Emergency Doctor | MD424077 | PA |
NPI | 1144263781 |
---|---|
Provider Name | Valerie Lynn Mcdougall Kestner |
First Address | Kansas City, MO 64108-4619 |
Second Address | Kansas City, MO 64108-4619 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2006 |
Last Update Date | 14/08/2014 |