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Individual

KRISTYN L HEINZMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NNP-BC

Contact information

Practice address
2401 GILLHAM RD, NEONATOLOGY, KANSAS CITY, MO 64108-4619
(816) 234-3591
(816) 234-3590
Mailing address
2401 GILLHAM RD, PROVIDER ENROLLMENT, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
123002
KS
163W00000X
Registered Nurse
154638
MO
363LN0000X
Neonatal Nurse Practitioner
Primary
2016029499
MO
363LN0000X
Neonatal Nurse Practitioner
77350
KS

Other

Enumeration date
08/05/2016
Last updated
06/25/2024
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