Individual
JUDITH KIMATU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
10977 GRANADA LN, SUITE 105, LEAWOOD, KS 66211-1468
(913) 215-5008
(816) 447-3960
Mailing address
PO BOX 875743, KANSAS CITY, MO 64187-5743
(913) 215-5008
(816) 447-3960
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2011010360
MO
363LF0000X
Family Nurse Practitioner
53-75274
KS
Other
Enumeration date
05/16/2011
Last updated
12/07/2016
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