Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 53-75134-031 | KS |
NPI | 1235444951 |
---|---|
Provider Name | Mrs. Kristen Renee Belko |
First Address | Prairie Village, KS 66208-4739 |
Second Address | Kansas City, KS 66103-2937 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2010 |
Last Update Date | 18/08/2010 |