Healthcare Provider Details

I. General information

NPI: 1508723974
Provider Name (Legal Business Name): RENEE KURDI MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1220 E AUSTIN ST
NEVADA MO
64772-3927
US

IV. Provider business mailing address

1220 E AUSTIN ST
NEVADA MO
64772-3927
US

V. Phone/Fax

Practice location:
  • Phone: 800-525-1483
  • Fax: 816-922-4870
Mailing address:
  • Phone: 800-525-1483
  • Fax: 816-922-4870

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374700000X
TaxonomyTechnician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: