Individual
EBONY N KURTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3101 BROADWAY BLVD, ADOLESCENT MEDICINE, KANSAS CITY, MO 64111
(816) 960-3050
(816) 960-3038
Mailing address
2401 GILLHAM RD, PROVIDER ENROLLMENT, KANSAS CITY, MO 64108-4619
(816) 701-5212
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2016001982
MO
363LP0200X
Pediatric Nurse Practitioner
77121
KS
Other
Enumeration date
02/29/2016
Last updated
11/27/2018
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