Individual
MR. BRANDON PATRICK KOONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-1864
(913) 588-6929
Mailing address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-1864
(913) 588-6929
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2022039662
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
53-82043-102
KS
Other
Enumeration date
11/14/2022
Last updated
11/04/2025
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