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Individual

MR. NATHAN D BURDITT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP-C

Contact information

Practice address
5917 MCGEE ST, KANSAS CITY, MO 64113-2205
(816) 352-2046
Mailing address
901 E 104TH ST, KANSAS CITY, MO 64131-4517
(816) 502-8752

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2020026468
MO

Other

Enumeration date
09/18/2020
Last updated
11/16/2021
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