Individual provider · Type 1 NPI

Courtney Hoover

Medical Physician Assistant · Independence, MO

NPI number 1013451558 Active

Practice location

19550 E 39th St S, Ste 410
Independence, MO 64057-2358

Fax (816) 303-2484

Mailing address

19550 E 39th St S Ste 410
Independence, MO 64057-2307

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X2016041932 (MO)
Medical Physician Assistant Primary 363AM0700X2016041932 (MO)

Medical Physician Assistant: Definition to come...

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About NPI 1013451558

Courtney Hoover's National Provider Identifier is 1013451558, issued on Dec 16, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Independence, MO. The record was last updated on Oct 9, 2026.