Kimberly A Berthold RN, BC, FNP

NPI 1780825570 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1780825570
Gender Female
Enumeration Date 03/09/2009
Last Updated 05/08/2012
Entity Type Individual
Active Over 7 years ago
Practice Location
20 NE SAINT LUKES BLVD
SUITE 240
LEES SUMMIT MO, 64086-6001, US
Phone (816) 931-1883
Fax (816) 756-3645
Business Location
4330 WORNALL RD
SUITE 2000
KANSAS CITY MO, 64111-5939, US
Phone (816) 931-1883
Fax (816) 756-3645
Toxanomy
Taxonomy Code 363LF0000X
License State Missouri
License Number 2008001025
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According to our database, Kimberly A Berthold RN, BC, FNP NPI is 1780825570, taxonomy code is 363LF0000X and license number is 2008001025, license state is located at Missouri. Kimberly A Berthold RN, BC, FNP physically located at 20 Ne Saint Lukes Blvd, Lees Summit MO, 64086-6001. NPI Number Kimberly A Berthold RN, BC, FNP has the Individual type.

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1780825570 NPI number is provided on an as is basis without warranty of any kind. 1780825570 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberly A Berthold RN, BC, FNP are for informational purposes only.