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General NPI Number Information
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NPI Number | 1699215822
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Entity Type | Individual
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Provider Name | KOURTNEY BURNETT FNP
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Gender | Female
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Dates
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Enumeration Date | 03/07/2017
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Last Update Date | 08/30/2021
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Provider Practice Location Address
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Address Line | MINUTE CLINIC DIAGNOSTIC OF KANSAS P.A. CLINIC 8602 7501 METCALF AVE
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City | OVERLAND PARK
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State | KS
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Zip | 66204-2927
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Country | US
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Telephone | 913-642-6330
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Fax |
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Provider Business Mailing Address
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Address Line | 901 E 104TH ST MAILSTOP 400S
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City | KANSAS CITY
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State | MO
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Zip | 64131-4517
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Country | US
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Telephone | 816-599-9499
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Fax | 816-932-9670
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2016045017
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5377547111
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License Number State | KS
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