MEDICARE: AIMEE KRYGER FNP-BC

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
1	163WC0200X	Critical Care Medicine Registered Nurse	2013034948	MO
2	363LF0000X	Family Nurse Practitioner	2018039638	MO

General Provider Information

NPI Number	:	1396213716
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AIMEE KRYGER FNP-BC

Provider Business Mailing Address
First Line	:	9580 METCALF AVE
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66212-2212
Country	:	US
Telephone Number	:	618-237-2463
Fax Number	:

Provider Business Practice Location Address
First Line	:	4505 MADISON AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64111-3509
Country	:	US
Telephone Number	:	816-946-8484
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2018
Last Update Date	:	04/10/2024

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