Healthcare Provider Details

I. General information

NPI: 1003852187
Provider Name (Legal Business Name): KIMBERLY FOLEY NAGEL ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KIMBERLY FOLEY FOLEY

II. Dates (important events)

Enumeration Date: 06/20/2006
Last Update Date: 09/12/2024
Certification Date: 09/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5701 W 119TH ST SUITE 345
OVERLAND PARK KS
66209
US

IV. Provider business mailing address

5701 W 119TH ST SUITE 345
OVERLAND PARK KS
66209
US

V. Phone/Fax

Practice location:
  • Phone: 913-339-9046
  • Fax: 913-339-9018
Mailing address:
  • Phone: 913-339-9046
  • Fax: 913-339-9018

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number145634
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: