person
Kimberly A Berthold, RN,BC,FNP
Family Nurse Practitioner in Lees Summit, Missouri
NPI 1780825570

Kimberly A Berthold is a Family Nurse Practitioner based in Kansas City, MO and is specialized in Family. Kimberly A Berthold practices in Lees Summit, MO and has the professional credentials of RN,BC,FNP. The NPI Number for Kimberly A Berthold is 1780825570 and holds a License No. 2008001025 (Missouri).

The current practice location address for Kimberly A Berthold is 20 Ne Saint Lukes Blvd, Lees Summit, MO and can be reached out via phone at 816-931-1883 and via fax at 816-756-3645.

Location: 20 Ne Saint Lukes Blvd, Lees Summit, MO, 64111-5939
person
Provider Profile Details
NPI Number
1780825570
Provider Name
Kimberly A Berthold
Credential
RN,BC,FNP
Provider Entity Type
Individual
Gender
Female
Address
20 Ne Saint Lukes Blvd, Lees Summit, MO, 64111-5939
Phone Number
816-931-1883
Fax Number
816-756-3645
Provider Enumeration Date
03/09/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200258340D 05 KS
200258340E 05 KS
P00836071 01 MO RAILROAD MEDICARE
P00842733 01 KS RAILROAD MEDICARE
1780825570 05 MO
institution
Provider Business Practice Location Address Details
Address
20 Ne Saint Lukes Blvd
City
State
Zip
64086-6001
Phone Number
816-931-1883
Fax Number
816-756-3645
person
Provider Business Mailing Address Details
Address
20 Ne Saint Lukes Blvd
City
State
Zip
64086-6001
Phone Number
816-931-1883
Fax Number
816-756-3645
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
2008001025 (Missouri)
Definition
Definition to come...
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