Individual
KELCI NOEL COUCH
Active
Individual
KELCI NOEL COUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
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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