Individual
KELCI NOEL COUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2790 CLAY EDWARDS DR STE 600, NORTH KANSAS CITY, MO 64116-3274
(816) 691-5048
(816) 346-7039
Mailing address
2790 CLAY EDWARDS DR STE 600, NORTH KANSAS CITY, MO 64116-3274
(816) 691-5048
(816) 346-7039
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
2013002874
MO
363LF0000X
Family Nurse Practitioner
Primary
2019040547
MO
363LF0000X
Family Nurse Practitioner
5379108011
KS
Other
Enumeration date
08/16/2019
Last updated
12/09/2021
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