Individual
MRS. STEPHANIE KARA GROTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
3101 BROADWAY BLVD, KANSAS CITY, MO 64111-2659
(816) 983-3060
Mailing address
2401 GILLHAM RD, ATTN: PROVIDER ENROLLMENT DEPT, KANSAS CITY, MO 64108-1111
(816) 721-5200
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2019034036
MO
Other
Enumeration date
09/12/2019
Last updated
03/25/2021
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