Individual provider · Type 1 NPI

Ami L. Koelliker, AGNP-C

Gerontology Nurse Practitioner · North Kansas City, MO

NPI number 1144880758 Active

Practice location

2790 Clay Edwards Dr Ste 520
North Kansas City, MO 64116-3274

Fax (816) 221-2335

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Gerontology Nurse Practitioner Primary 363LG0600X2019021301 (MO)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1144880758

Ami L. Koelliker, AGNP-C's National Provider Identifier is 1144880758, issued on Jun 17, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in North Kansas City, MO. The record was last updated on Jun 18, 2019.