Healthcare Provider Details

I. General information

NPI: 1669347340
Provider Name (Legal Business Name): KAYLA ELIZABETH BREWER-CLEMENTS FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/10/2025
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 NW SAINT MARY DR
BLUE SPRINGS MO
64014-2524
US

IV. Provider business mailing address

801 NW SAINT MARY DR STE 210
BLUE SPRINGS MO
64014-2539
US

V. Phone/Fax

Practice location:
  • Phone: 816-200-1533
  • Fax: 816-900-0083
Mailing address:
  • Phone: 816-200-1533
  • Fax: 816-900-0083

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2022020717
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: