Organization · Type 2 NPI

Care Beyond the Boulevard

Primary Care Nurse Practitioner · Kansas City, KS

NPI number 1568040566 Active

Practice location

3150 Fiberglass Rd
Kansas City, KS 66115

Other practice locations

  • 3308 E 12th St, Kansas City, MO 64127-1437 · (701) 484-2273
  • 3617 N 112th Ter, Kansas City, KS 66109-3445 · (701) 484-2273

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Primary Care Nurse Practitioner Primary 363LP2300XNone listed

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1568040566

Care Beyond the Boulevard's National Provider Identifier is 1568040566, issued on Mar 31, 2021. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Kansas City, KS. The record was last updated on Nov 1, 2023.