Individual
SIMON KINUTHIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1700 NE 94TH ST, KANSAS CITY, MO 64155-2545
(816) 878-8387
Mailing address
1700 NE 94TH ST, KANSAS CITY, MO 64155-2545
(816) 878-8387
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
2019035277
MO
363LF0000X
Family Nurse Practitioner
Primary
2019035277
MO
Other
Enumeration date
11/08/2019
Last updated
06/20/2025
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