Individual
KRISHNA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4908 NW MONTEBELLA DR, RIVERSIDE, MO 64150-7823
(816) 888-0769
Mailing address
4908 NW MONTEBELLA DR, RIVERSIDE, MO 64150-7823
(816) 888-0769
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2016019529
MO
363LF0000X
Family Nurse Practitioner
Primary
2024021762
MO
363LF0000X
Family Nurse Practitioner
F04240592
MO
Other
Enumeration date
05/18/2024
Last updated
05/15/2025
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