Individual
MANDY WINKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6301 ROCKHILL RD STE 302, KANSAS CITY, MO 64131
(816) 541-3292
(816) 541-3403
Mailing address
11241 MONTGALL AVE APT 1001, KANSAS CITY, MO 64137-3508
(816) 541-3292
(816) 541-3403
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
N000708954
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83-1151564
IRS
MO
Enumeration date
07/09/2018
Last updated
07/09/2018
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