Individual
JUDITH A KLINGENSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
900 MAIN ST, GRANDVIEW, MO 64030
(816) 765-8900
(816) 763-9359
Mailing address
900 MAIN ST, GRANDVIEW, MO 64030-2477
(816) 765-8900
(816) 763-9359
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
083330
MO
363LF0000X
Family Nurse Practitioner
083330
MO
363LF0000X
Family Nurse Practitioner
44725
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44725
KANSAS LICENSE
KS
Enumeration date
01/30/2006
Last updated
03/07/2023
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