Individual
MRS. KAREN MARIE WIDDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
402 DONEGAL DR, SMITHVILLE, MO 64089-8383
(816) 841-5163
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
2010036071
MO
Other
Enumeration date
11/15/2010
Last updated
11/15/2010
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