Individual
KAYLEE COULTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-NNP
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
2401 GILLHAM RD, ATTN: PROVIDER ENROLLMENT DEPT, KANSAS CITY, MO 64108-4619
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
13131180122
KS
Other
Enumeration date
06/09/2019
Last updated
12/13/2023
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