Healthcare Provider Details

I. General information

NPI: 1760315626
Provider Name (Legal Business Name): KELSIE SUZANNE CURTICE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7230 RENNER RD
SHAWNEE KS
66217-9901
US

IV. Provider business mailing address

204 W MIAMI ST
PAOLA KS
66071-1619
US

V. Phone/Fax

Practice location:
  • Phone: 913-962-2122
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number5385869012
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5385869012
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number13-149579-012
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: