Individual
KIRSTEN DIANE CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-BC
Contact information
Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 882-2568
(855) 903-0985
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2021031381
MO
363LF0000X
Family Nurse Practitioner
Primary
2021031381
MO
Other
Enumeration date
09/14/2021
Last updated
10/05/2022
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