Healthcare Provider Details
I. General information
NPI: 1659635316
Provider Name (Legal Business Name): TRISHA N KUHLMAN CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/27/2012
Last Update Date: 06/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6501 E 87TH ST
KANSAS CITY MO
64138-2732
US
IV. Provider business mailing address
6501 E 87TH ST
KANSAS CITY MO
64138-2732
US
V. Phone/Fax
- Phone: 816-444-8406
- Fax: 816-444-8407
- Phone: 816-444-8406
- Fax: 816-444-8407
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | 2006027479 |
| License Number State | MO |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP2300X |
| Taxonomy | Primary Care Nurse Practitioner |
| License Number | 20121137 |
| License Number State | MO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: