Individual
LIDA PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3709 E 114TH TER, KANSAS CITY, MO 64137-2369
(816) 500-6177
Mailing address
3709 E 114TH TER, KANSAS CITY, MO 64137-2369
(816) 500-6177
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2021027718
MO
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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