Individual
MRS. KIMBERLY ANN SPOONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, NNP-BC, PNP-AC
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
111367
NE
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
2014043709
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43955
NAME PREVIOUSLY WAS KIMBERLY GORACKE NURSING LICENSE
NE
Enumeration date
08/08/2012
Last updated
01/04/2025
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