Individual
LESLIE ETHERIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Mailing address
2700 CLAY EDWARDS DR STE 240, NORTH KANSAS CITY, MO 64116-3254
(816) 691-5287
(816) 346-7690
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
77104
KS
363LF0000X
Family Nurse Practitioner
Primary
2013033429
MO
Other
Enumeration date
04/22/2014
Last updated
03/16/2026
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