Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 2020017630 | MO |
N | 111NI0900X | Internist | 2020017630 | MO |
Y | 207RH0002X | Hospice and Palliative Medicine | 2020017630 | MO |
NPI | 1265953160 |
---|---|
Provider Name | Brittany Diane Mccarty |
First Address | Kansas City, MO 64184-3966 |
Second Address | Columbia, MO 65212-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2017 |
Last Update Date | 20/10/2021 |