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Individual

NICOLE REDDICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
100 NE SAINT LUKES BLVD, LEES SUMMIT, MO 64086-6000
(816) 347-5000
Mailing address
901 E 104TH ST, MS 400S, KANSAS CITY, MO 64131-4517
(816) 502-8752
(816) 932-9670

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2017020576
MO

Other

Enumeration date
06/29/2017
Last updated
11/13/2017
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