Individual
LAKEITIA RENEE BUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
2600 E 12TH ST, KANSAS CITY, MO 64127-1321
(816) 404-6170
Mailing address
1555 NE RICE RD, LEES SUMMIT, MO 64086-5849
(816) 966-0900
(816) 347-3200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2016003740
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2016003740
MO
Other
Enumeration date
02/09/2016
Last updated
04/21/2023
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