Individual
CHARLES WILLITS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
9151 NE 81ST TER STE 100, KANSAS CITY, MO 64158-1176
(816) 781-4740
(816) 781-0971
Mailing address
9151 NE 81ST TER STE 100, KANSAS CITY, MO 64158-1176
(816) 781-4740
(816) 781-0971
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2022021366
MO
Other
Enumeration date
04/25/2022
Last updated
07/25/2023
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