Individual
KATHRINE JEAN STIPANOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
104 NW STATE ROUTE 7, BLUE SPRINGS, MO 64014-2726
(816) 229-8880
Mailing address
104 NW STATE ROUTE 7, BLUE SPRINGS, MO 64014-2726
(816) 229-8880
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2016044712
MO
Other
Enumeration date
12/21/2016
Last updated
08/11/2021
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