Individual
KAITLIN GRACE CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
615 SW OLDHAM PKWY, LEES SUMMIT, MO 64081-2602
(816) 524-3328
Mailing address
4544 NE WEBSTER DR, LEES SUMMIT, MO 64064-1796
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2022040040
MO
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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