Individual
MR. WALTER NORTHRUP GEORGE IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
3801 BLUE PKWY, KANSAS CITY, MO 64130-2807
(816) 923-5800
Mailing address
4902 BELINDER RD, WESTWOOD, KS 66205-1938
(816) 878-7261
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2018020749
MO
363L00000X
Nurse Practitioner
78255
KS
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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