Individual
CARLY D SKJERVEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 CHARLOTTE ST, KANSAS CITY, MO 64108-2727
(816) 404-7800
(816) 404-6006
Mailing address
2101 CHARLOTTE ST, KANSAS CITY, MO 64108-2727
(816) 404-7800
(816) 404-6006
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2016021952
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420035712
—
MO
Enumeration date
08/28/2015
Last updated
12/03/2020
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