Individual
KIMBERLY HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Mailing address
2401 GILLHAM RD, PROVIDER ENROLLMENT DEPT, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
04-35894
KS
208000000X
Pediatrics Physician
2012023534
MO
2081P0010X
Pediatric Rehabilitation Medicine Physician
04-35894
KS
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
2012023534
MO
Other
Enumeration date
06/04/2007
Last updated
12/06/2025
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