Individual
COURTNEY FOOTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
201 JORDAN RD STE 200, FRANKLIN, TN 37067-4495
(405) 714-7732
Mailing address
9526 NE 89TH ST, KANSAS CITY, MO 64157-8659
(405) 714-7732
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
15-02560
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/04/2020
Last updated
03/03/2023
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