Individual
SHELBY BROOKE COULTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
(913) 588-9661
Mailing address
1530 N CHURCH RD, LIBERTY, MO 64068-7129
(913) 588-9661
(913) 274-3520
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
78271
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NO ANSWER
KS
Enumeration date
07/27/2018
Last updated
07/27/2018
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