Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 2012041513 | MO |
Y | 207QG0300X | Family Doctor - Geriatric Medicine | 2012041513 | MO |
NPI | 1083841753 |
---|---|
Provider Name | Dr. Karli Ross Echterling Urban |
First Address | Kansas City, MO 64184-3966 |
Second Address | Columbia, MO 65201-4236 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2009 |
Last Update Date | 08/05/2019 |