Provider Demographics
NPI:1821006081
Name:KENEIPP, ANN B (APRN)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:B
Last Name:KENEIPP
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:ANN
Other - Middle Name:B
Other - Last Name:GOSNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2107 GRAND BLVD APT 602
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108-1878
Mailing Address - Country:US
Mailing Address - Phone:816-872-8886
Mailing Address - Fax:
Practice Address - Street 1:2107 GRAND BLVD APT 602
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108-1878
Practice Address - Country:US
Practice Address - Phone:816-872-8886
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9462772363LF0000X
MO2001023962363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily