Healthcare Provider Details

I. General information

NPI: 1477377521
Provider Name (Legal Business Name): AMY CONO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2024
Last Update Date: 11/14/2024
Certification Date: 11/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

419 W 104TH ST
KANSAS CITY MO
64114-6064
US

IV. Provider business mailing address

419 W 104TH ST
KANSAS CITY MO
64114-6064
US

V. Phone/Fax

Practice location:
  • Phone: 816-941-3309
  • Fax:
Mailing address:
  • Phone: 816-941-3309
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0003X
TaxonomyInpatient Obstetric Registered Nurse
License Number2020042374
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: