Individual
KELSEY WICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4400 BROADWAY BLVD STE 520, KANSAS CITY, MO 64111-3342
(816) 960-7600
Mailing address
901 E 104TH ST, MAILSTOP 400S, KANSAS CITY, MO 64131
(816) 960-7600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2022041283
MO
363LF0000X
Family Nurse Practitioner
5382735
KS
Other
Enumeration date
11/18/2022
Last updated
01/23/2024
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