Individual provider · Type 1 NPI

Kelly Bush, APN

Gerontology Nurse Practitioner · Kansas City, MO

NPI number 1053778787 Active

Practice location

4400 Broadway, Suite 520
Kansas City, MO 64111-3498

Fax (816) 531-0281

Mailing address

901 E 104th St, Mailstop 400
Kansas City, MO 64131

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X2016000625 (MO)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1053778787

Kelly Bush, APN's National Provider Identifier is 1053778787, issued on Jan 26, 2016. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Kansas City, MO. The record was last updated on Nov 15, 2017.