Individual
MS. KAREN LOUISE HUTTON ROTERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, FNP-C
Contact information
Practice address
2800 CLAY EDWARDS DR, NORTH KANSAS CITY, MO 64116-3220
(816) 346-7220
(816) 346-7242
Mailing address
PO BOX 11157, KANSAS CITY, MO 64119-0157
(913) 234-1350
(913) 234-1108
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
079772
MO
363LF0000X
Family Nurse Practitioner
Primary
079722
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26241022
BCBS KC MO NON PAR ID #
—
05
—
424867216
—
MO
01
—
P00052730
RR MEDICARE GROUP CD1534
—
Enumeration date
08/31/2005
Last updated
04/14/2016
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