Individual
KATLYN C BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2525 GLENN HENDREN DR, LIBERTY, MO 64068-9625
(816) 407-5430
Mailing address
16187 HIGHWAY M, LAWSON, MO 64062-9283
(816) 588-7040
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2017022410
MO
363LF0000X
Family Nurse Practitioner
Primary
2022026229
MO
363LF0000X
Family Nurse Practitioner
53-85205
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000
DO NOT HAVE ANY OTHER IDENTIFIERS
—
Enumeration date
01/17/2022
Last updated
05/26/2026
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