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NPI Code Detail

MEDICARE: MICHAELA KOLARIK

MEDICARE: MICHAELA KOLARIK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner2018002042MO

General Provider Information

NPI Number : 1326556614
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAELA KOLARIK
Provider Business Mailing Address
First Line : 715 E GREGORY BLVD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64131-1324
Country : US
Telephone Number : 816-506-9933
Fax Number :
Provider Business Practice Location Address
First Line : 5440 NW 64TH ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64151-2415
Country : US
Telephone Number : 816-506-9933
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2018
Last Update Date : 01/20/2018

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Directions to “ MICHAELA KOLARIK ” Practice Location

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