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Mr. Blake T Coulter, NP
Family Nurse Practitioner in Kansas City, Kansas
NPI 1851613467

Blake T Coulter is a Family Nurse Practitioner based in Kansas City, KS and is specialized in Family. Blake T Coulter practices in Kansas City, KS and has the professional credentials of NP. The NPI Number for Blake T Coulter is 1851613467 and holds a License No. 75958 (Kansas).

The current practice location address for Blake T Coulter is 3901 Rainbow Blvd, Kansas City, KS and can be reached out via phone at 913-588-3807 and via fax at 913-588-3877.

Location: 3901 Rainbow Blvd, Kansas City, KS, 64151
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851613467
Provider Name
Blake T Coulter
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
3901 Rainbow Blvd, Kansas City, KS, 64151
Phone Number
913-588-3807
Fax Number
913-588-3877
Provider Enumeration Date
02/23/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00976936 01 MO RAILROAD MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
3901 Rainbow Blvd
City
Kansas City
State
Kansas
Zip
66160
Phone Number
913-588-3807
Fax Number
913-588-3877
person
Provider Business Mailing Address Details
Address
3901 Rainbow Blvd
City
Kansas City
State
Kansas
Zip
66160
Phone Number
913-588-3807
Fax Number
913-588-3877
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
2005007561 (Missouri)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
75958 (Kansas)
Definition
Definition to come...
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