Individual provider · Type 1 NPI

Kelci Brooke Gillenwater

Nurse Practitioner · Overland Park, KS

NPI number 1962887109 Active

Practice location

10200 W 105th St
Overland Park, KS 66212-5750

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X53-76507-042 (KS)
Nurse Practitioner 363L00000X2014035979 (MO)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1962887109

Kelci Brooke Gillenwater's National Provider Identifier is 1962887109, issued on Jul 29, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Overland Park, KS. The record was last updated on Jul 29, 2015.