Individual
THERESA ANNE KOELLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, MSN, FNP-C
Contact information
Practice address
501 NW BARRY RD, KANSAS CITY, MO 64155-2732
(816) 413-2500
Mailing address
8544 N AVA AVE, KANSAS CITY, MO 64154-1886
(314) 779-7056
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
53-83901-111
KS
363LA2100X
Acute Care Nurse Practitioner
Primary
2024015292
MO
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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