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NPI Code Detail

MEDICARE: BENJAMIN FRANCIS WITT FNP, APRN

MEDICARE:   BENJAMIN FRANCIS WITT  FNP, APRN
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
1363LF0000XFamily Nurse Practitioner2011038370MO

General Provider Information

NPI Number : 1427565084
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN FRANCIS WITT FNP, APRN
Provider Business Mailing Address
First Line : 2330 E MEYER BLVD STE 301
Second Line :
City : KANSAS CITY
State : MO
Zip : 64132-1149
Country : US
Telephone Number : 816-333-5424
Fax Number : 816-822-0870
Provider Business Practice Location Address
First Line : 2330 E MEYER BLVD STE 301
Second Line :
City : KANSAS CITY
State : MO
Zip : 64132-1149
Country : US
Telephone Number : 816-289-7108
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2018
Last Update Date : 02/17/2020

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