Individual provider · NPI-1

Kimberly Joyce Bywaters, RN

Registered Nurse, Psych/Mental Health, Adult · Kansas City, MO

NPI number1366562001

StatusActive

Last updated in NPPESOct 31, 2016

Details

NPI: 1366562001
Entity type: Individual (NPI-1)
Name: Kimberly Joyce Bywaters
Credential: RN
Sex: Female
Sole proprietor: No
Enumeration date: Mar 29, 2007
Last updated: Oct 31, 2016

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
163WP0809X	Registered Nurse, Psych/Mental Health, Adult	13-60603-022	KS	Yes

Practice location

6801 E 117th St
Kansas City, MO 64134-3701

Phone 816-554-4285 · Fax 816-554-5550

Mailing address

6801 E 117th St
Kansas City, MO 64134-3701

Phone 816-554-4285 · Fax 816-554-5550

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