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
Phone: (417) 782-3000
Fax: (417) 782-3088
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629013271 | NPPES |
| Kansas | MEDICAID | 100414280A | |
| Kansas | Other | 500022358 | |
| Kansas | Other | 162696 | |
| Kansas | MEDICAID | 100145070A | |
| Kansas | MEDICAID | 425753100 |
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