Individual
KIMBERLY VOGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
7900 LEES SUMMIT RD, KANSAS CITY, MO 64139-1236
(816) 404-8678
Mailing address
216 SW ANSEL ADAMS DR, LEES SUMMIT, MO 64081-2261
(816) 588-9198
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2003011981
MO
363LF0000X
Family Nurse Practitioner
2003011981
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841431285
—
MO
01
—
P01697550
RR MEDICARE PTAN GROUP CD1534
MO
Enumeration date
03/16/2009
Last updated
02/14/2022
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