Individual
CANDI CALVERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2790 CLAY EDWARDS DR STE 520, NORTH KANSAS CITY, MO 64116-3274
(816) 221-6750
(816) 221-2335
Mailing address
2790 CLAY EDWARDS DR STE 520, NORTH KANSAS CITY, MO 64116-3274
(816) 221-6750
(816) 221-2335
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2015000404
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376937979
—
MO
Enumeration date
03/23/2015
Last updated
01/21/2021
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