Individual
COURTNEY CODILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
1063 SW CONCH CIR, LEES SUMMIT, MO 64064-8007
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
2024032794
MO
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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