Individual
AMI L KOELLIKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
2790 CLAY EDWARDS DR STE 520, NORTH KANSAS CITY, MO 64116-3274
(816) 221-6750
(816) 221-2335
Mailing address
2790 CLAY EDWARDS DR STE 520, NORTH KANSAS CITY, MO 64116-3274
(816) 221-6750
(816) 221-2335
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
2019021301
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/17/2019
Last updated
06/18/2019
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