Reichardt, Kyra L

Reichardt, Kyra L is an individual health care provider with primary practice located at 1102 W 32Nd Street Ste 300, Joplin MO 64804. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Reichardt, Kyra L can be contacted via phone (417) 782-3000.

Contact Information

Primary practice address
1102 W 32Nd Street Ste 300 Joplin MO 64804
Fax: (417) 782-3088
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 129112 Missouri

Profile Details

NPI number 1629013271
LBN Legal business name Reichardt, Kyra L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Oct 29th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1629013271 NPPES
Kansas MEDICAID 100414280A
Kansas Other 500022358
Kansas Other 162696
Kansas MEDICAID 100145070A
Kansas MEDICAID 425753100

Popular Providers