Individual
KERRY SHUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3430
Mailing address
999 CLAYTON PL, ODESSA, MO 64076-7465
(816) 678-8177
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2017019595
MO
Other
Enumeration date
06/20/2017
Last updated
06/20/2017
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