Individual
MRS. KIMBERLY JO POECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
12000 LAMAR AVE, OVERLAND PARK, KS 66209-2705
(872) 231-3162
(702) 977-1496
Mailing address
PO BOX 74008272, CHICAGO, IL 60674-8272
(872) 231-3162
(702) 977-1496
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
05-33658
KS
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2009006316
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-33658
STATE OF KANSAS
KS
05
—
1477684678
—
MO
01
—
2009006316
STATE OF MISSOURI
MO
05
—
30004390990003
—
KS
Enumeration date
03/08/2007
Last updated
05/12/2026
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