Healthcare Provider Details

I. General information

NPI: 1144297367
Provider Name (Legal Business Name): KATHERINE FRAZIER DARNELL FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2006
Last Update Date: 11/10/2021
Certification Date: 11/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2303 VILLAGE DR
SAINT JOSEPH MO
64506-4954
US

IV. Provider business mailing address

PO BOX 803886
KANSAS CITY MO
64180-3886
US

V. Phone/Fax

Practice location:
  • Phone: 816-232-6818
  • Fax: 816-232-6823
Mailing address:
  • Phone: 816-307-4893
  • Fax: 816-307-4893

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number096828
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: