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NPI Code Detail

MEDICARE: KOURTNEY BURNETT FNP

MEDICARE: KOURTNEY BURNETT FNP
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 Practitioner2016045017MO
2363LF0000XFamily Nurse Practitioner5377547111KS

General Provider Information

NPI Number : 1699215822
Entity Type Code : Individual
Provider Name (Legal Business Name) : KOURTNEY BURNETT FNP
Provider Business Mailing Address
First Line : 901 E 104TH ST
Second Line : MAILSTOP 400S
City : KANSAS CITY
State : MO
Zip : 64131-4517
Country : US
Telephone Number : 816-599-9499
Fax Number : 816-932-9670
Provider Business Practice Location Address
First Line : MINUTE CLINIC DIAGNOSTIC OF KANSAS P.A. CLINIC 8602
Second Line : 7501 METCALF AVE
City : OVERLAND PARK
State : KS
Zip : 66204-2927
Country : US
Telephone Number : 913-642-6330
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2017
Last Update Date : 08/30/2021

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