Individual
KARLA D WILMOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC,WHNP,MSN
Contact information
Practice address
19550 E 39TH ST S, INDEPENDENCE, MO 64057-2303
(816) 350-1200
Mailing address
19550 E 39TH ST S, INDEPENDENCE, MO 64057-2303
(816) 350-1200
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
44963
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100643150A
—
KS
01
—
110035
BCBS OF KS GRP ID
KS
01
—
161052
BCBS OF KS PROVIDER ID
KS
05
—
428056220
—
MO
Enumeration date
03/06/2007
Last updated
02/01/2010
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