Individual
KRISTY HERNDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1900 E LANGSFORD RD, LEES SUMMIT, MO 64063-3600
(816) 554-9500
Mailing address
1900 E LANGSFORD RD, LEES SUMMIT, MO 64063-3600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2017044214
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420051840
—
MO
Enumeration date
12/25/2017
Last updated
12/09/2020
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