Individual
MODESTINE RAE POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
5440 NW 64TH ST, KANSAS CITY, MO 64151-2415
(866) 389-2727
Mailing address
8450 NW PRAIRIE VIEW RD # 1107, KANSAS CITY, MO 64153-1841
(816) 797-9735
(816) 207-0624
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2024036127
MO
363LF0000X
Family Nurse Practitioner
53-83882-022
KS
Other
Enumeration date
07/12/2024
Last updated
09/02/2025
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