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Individual

MRS. KATHLEEN FULLERTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
2700 CLAY EDWARDS DR STE 240, NORTH KANSAS CITY, MO 64116-3254
(816) 691-2021
(816) 346-7690
Mailing address
2700 CLAY EDWARDS DR STE 240, NORTH KANSAS CITY, MO 64116-3254
(816) 691-2021
(816) 346-7690

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
143082
MO
363LF0000X
Family Nurse Practitioner
Primary
2022006640
MO
390200000X
Student in an Organized Health Care Education/Training Program
143082
MO

Other

Enumeration date
06/07/2021
Last updated
04/14/2022
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