Individual provider · Type 1 NPI

Kenneth Carroll, RN, NP-C

Family Nurse Practitioner · Independence, MO

NPI number 1699033464 Active

Practice location

15708 E 45th Pl S
Independence, MO 64055-5212

Call (816) 726-5492 Map

Mailing address

15708 E. 45th Pl. S.
Independence, MO 64055-5212

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X2012009273 (MO)

Family Nurse Practitioner: Definition to come...

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About NPI 1699033464

Kenneth Carroll, RN, NP-C's National Provider Identifier is 1699033464, issued on Apr 30, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Independence, MO. The record was last updated on Apr 30, 2012.