NPI 1619769239

Mikayle Fritz

Practitioner Prevention Professional Kansas City, MO

Practice location

Address: 2401 Gillham Rd, Kansas City, MO 64108-4619
Phone: (816) 601-4492

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence LHRAR2504296096-05 (MO)

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Registry record

NPI: 1619769239
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 May 2025
Record last updated: 20 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.