Healthcare Provider Details

I. General information

NPI: 1396213716
Provider Name (Legal Business Name): AIMEE KRYGER FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AIMEE MCGOVERN

II. Dates (important events)

Enumeration Date: 11/02/2018
Last Update Date: 04/10/2024
Certification Date: 04/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4505 MADISON AVE
KANSAS CITY MO
64111-3509
US

IV. Provider business mailing address

9580 METCALF AVE
OVERLAND PARK KS
66212-2212
US

V. Phone/Fax

Practice location:
  • Phone: 816-946-8484
  • Fax:
Mailing address:
  • Phone: 618-237-2463
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number2013034948
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2018039638
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: