Individual
SHARON TRACY FOUNTAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5400 NE 49TH ST, KANSAS CITY, MO 64119-3717
(386) 209-7618
Mailing address
5400 NE 49TH ST, KANSAS CITY, MO 64119-3717
(386) 209-7618
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2024048270
MO
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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