Individual
DR. DYLAN TRENT SEVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, APRN, FNP-BC
Contact information
Practice address
340 SOUTHWEST BLVD, KANSAS CITY, KS 66103-2150
(913) 722-3100
(913) 722-2542
Mailing address
5212 N SPRUCE AVE, KANSAS CITY, MO 64119-2833
(316) 305-8049
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2022022667
MO
363LF0000X
Family Nurse Practitioner
Primary
53-81411-011
KS
Other
Enumeration date
07/29/2022
Last updated
10/06/2022
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