Jennifer Michelle Kandlik
Nurse Practitioner - Family Medicine
25 Conley Rd
Columbia
, Missouri 65201-6477
Jennifer Michelle Kandlik
Nurse Practitioner - Family Medicine
25 Conley Rd
Columbia
, Missouri 65201-6477
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Jennifer Michelle Kandlik
- 7147 W Elizabeth St
- Columbia, MO
- Zip : 65202-7889
- Phone :
Second Address
- Jennifer Michelle Kandlik
- 25 Conley Rd
- Columbia, MO
- Zip : 65201-6477
- Fax : (573) 884-1137
- Phone : (573) 884-0169
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 2018018066 | MO |
National Provider Identifier
| NPI | 1003302035 |
|---|---|
| Provider Name | Jennifer Michelle Kandlik |
| First Address | Columbia, MO 65202-7889 |
| Second Address | Columbia, MO 65201-6477 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/07/2018 |
| Last Update Date | 02/07/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.