Individual
PAM A KLIETHERMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3593
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3593
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
069027
MO
363LN0000X
Neonatal Nurse Practitioner
44515
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
069027
MO LICENSE
MO
01
—
1476525102
KS RN LICENSE
KS
01
—
44515
KS APN LICENSE
KS
Enumeration date
07/25/2006
Last updated
07/08/2007
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