Provider Demographics
NPI:1841813706
Name:SILCOTT, KRISTINE ELIZABETH (FNP)
Entity type:Individual
Prefix:
First Name:KRISTINE
Middle Name:ELIZABETH
Last Name:SILCOTT
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Gender:
Credentials:FNP
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Other - First Name:
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Mailing Address - Street 1:2790 CLAY EDWARDS DR STE 625
Mailing Address - Street 2:
Mailing Address - City:NORTH KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64116-3278
Mailing Address - Country:US
Mailing Address - Phone:816-455-3990
Mailing Address - Fax:816-455-5351
Practice Address - Street 1:9411 N OAK TRFY STE 100
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64155-2262
Practice Address - Country:US
Practice Address - Phone:816-436-1800
Practice Address - Fax:816-436-4241
Is Sole Proprietor?:No
Enumeration Date:2020-05-26
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2020013542363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO2020013542OtherLICENSE NUMBER