Individual
KATHERINE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2861 NE INDEPENDENCE AVE STE 201, LEES SUMMIT, MO 64064-2379
(816) 525-2840
(816) 525-2841
Mailing address
2861 NE INDEPENDENCE AVE STE 201, LEES SUMMIT, MO 64064-2379
(816) 525-2840
(816) 525-2841
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
77899
KS
363LA2200X
Adult Health Nurse Practitioner
Primary
2022028990
MO
363LA2200X
Adult Health Nurse Practitioner
53-77899
KS
Other
Enumeration date
09/27/2017
Last updated
04/08/2026
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