Individual
KASSIDY ANN COURTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-6122
Mailing address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-6122
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
2024019861
MO
Other
Enumeration date
01/22/2026
Last updated
01/22/2026
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