Individual provider · NPI-1

Kelsey Becker

Registered Nurse, General Practice · Kansas City, MO

NPI number1790590818

StatusActive

Last updated in NPPESFeb 7, 2025

Details

NPI: 1790590818
Entity type: Individual (NPI-1)
Name: Kelsey Becker
Sex: Female
Sole proprietor: No
Enumeration date: Feb 7, 2025
Certification date: Feb 7, 2025
Last updated: Feb 7, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
163WG0000X	Registered Nurse, General Practice	2018022185	MO	Yes
363LF0000X	Nurse Practitioner, Family	F01250544	MO

Practice location

4240 Blue Ridge Blvd Ste 530
Kansas City, MO 64133-1713

Phone 888-256-3814

Mailing address

4240 Blue Ridge Blvd Ste 530
Kansas City, MO 64133-1713

Phone 888-256-3814

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