Provider Demographics
NPI:1689036980
Name:KALELI-LEE, GRACE (MA)
Entity Type:Individual
Prefix:MRS
First Name:GRACE
Middle Name:
Last Name:KALELI-LEE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3701 TRACY AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64109-2726
Mailing Address - Country:US
Mailing Address - Phone:816-589-4795
Mailing Address - Fax:
Practice Address - Street 1:3701 TRACY AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64109-2726
Practice Address - Country:US
Practice Address - Phone:816-589-4795
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-25
Last Update Date:2016-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No1744R1102XOther Service ProvidersSpecialistResearch Study