Individual
DR. CARLIE NIKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
7900 LEES SUMMIT RD, KANSAS CITY, MO 64139-1246
(816) 404-7000
Mailing address
7900 LEES SUMMIT RD, KANSAS CITY, MO 64139-1246
(816) 404-5322
(816) 404-7225
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2016008260
MO
103T00000X
Psychologist
2291
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490024199
—
MO
Enumeration date
02/02/2015
Last updated
11/19/2020
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