Individual
KACY SUE WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
19600 E 39TH ST S, INDEPENDENCE, MO 64057-2301
(816) 839-3994
Mailing address
1010 CARONDELET DR STE 121, KANSAS CITY, MO 64114-4859
(816) 912-2100
(636) 438-0430
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2019003453
MO
363LF0000X
Family Nurse Practitioner
2019003453
MO
Other
Enumeration date
02/04/2019
Last updated
07/10/2025
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