Provider Demographics
NPI:1427565084
Name:WITT, BENJAMIN FRANCIS (FNP, APRN)
Entity Type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:FRANCIS
Last Name:WITT
Suffix:
Gender:M
Credentials:FNP, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2330 E MEYER BLVD STE 301
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64132-1149
Mailing Address - Country:US
Mailing Address - Phone:816-333-5424
Mailing Address - Fax:816-822-0870
Practice Address - Street 1:2330 E MEYER BLVD STE 301
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64132-1149
Practice Address - Country:US
Practice Address - Phone:816-289-7108
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-04
Last Update Date:2020-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011038370363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily