person
Kathy Clydean Erickson, RN,CS,FNP
Gerontology Nurse Practitioner in Cameron, Missouri
NPI 1316921430

Kathy Clydean Erickson is a Gerontology Nurse Practitioner based in Cameron, MO and is specialized in Gerontology. Kathy Clydean Erickson practices in Cameron, MO and has the professional credentials of RN,CS,FNP. The NPI Number for Kathy Clydean Erickson is 1316921430 and holds a License No. 065142 (Missouri).

The current practice location address for Kathy Clydean Erickson is 1600 E Evergreen St, Cameron, MO and can be reached out via phone at 816-632-2139 and via fax at 816-632-2315.

Location: 1600 E Evergreen St, Cameron, MO, 64429-2400
person
Provider Profile Details
NPI Number
1316921430
Provider Name
Kathy Clydean Erickson
Credential
RN,CS,FNP
Provider Entity Type
Individual
Gender
Female
Address
1600 E Evergreen St, Cameron, MO, 64429-2400
Phone Number
816-632-2139
Fax Number
816-632-2315
Provider Enumeration Date
12/01/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
427786421 05 MO
P00607932 01 MO MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
1600 E Evergreen St
City
State
Zip
64429-2400
Phone Number
816-632-2139
Fax Number
816-632-2315
person
Provider Business Mailing Address Details
Address
1600 E Evergreen St
City
State
Zip
64429-2400
Phone Number
816-632-2139
Fax Number
816-632-2315
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
065142 (Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
065142 (Missouri)
Definition
Definition to come...
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