MEDICARE: KELLY C. WINKLER A.R.N.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	2023035273	MO

General Provider Information

NPI Number	:	1255347506
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELLY C. WINKLER A.R.N.P.

Provider Business Mailing Address
First Line	:	4321 WASHINGTON ST STE 5300
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64111-5931
Country	:	US
Telephone Number	:	816-531-1234
Fax Number	:	816-531-0737

Provider Business Practice Location Address
First Line	:	4321 WASHINGTON ST STE 5300
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64111-5931
Country	:	US
Telephone Number	:	816-531-1234
Fax Number	:	816-531-0737

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	06/10/2024

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