Individual
STEPHANIE ANNE KORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 CHARLOTTE ST, KANSAS CITY, MO 64108-2727
(816) 404-2222
Mailing address
1317 SW HIDDEN CREEK CT, BLUE SPRINGS, MO 64015-8810
(816) 721-9287
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2019025823
MO
Other
Enumeration date
10/02/2019
Last updated
11/19/2020
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