Individual
KIMBERELY SUE RADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, CPNP-AC
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3106
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
118785
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100447530A
—
KS
05
—
425974508
—
MO
Enumeration date
04/25/2006
Last updated
03/13/2024
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