Healthcare Provider Details

I. General information

NPI: 1922241082
Provider Name (Legal Business Name): KIYA MARCHI RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2009
Last Update Date: 04/19/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4801 E LINWOOD BLVD
KANSAS CITY MO
64128-2226
US

IV. Provider business mailing address

801 W 47TH ST
KANSAS CITY MO
64112-1377
US

V. Phone/Fax

Practice location:
  • Phone: 816-861-4700
  • Fax:
Mailing address:
  • Phone: 816-531-3131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number2005020798
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: