Provider Demographics
NPI:1982350609
Name:PHILPOT, KARLI KATHERINE (MSN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:KARLI
Middle Name:KATHERINE
Last Name:PHILPOT
Suffix:
Gender:F
Credentials:MSN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4551 HIGHWAY H
Mailing Address - Street 2:
Mailing Address - City:LEASBURG
Mailing Address - State:MO
Mailing Address - Zip Code:65535-8123
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:301 THERESA ST
Practice Address - Street 2:
Practice Address - City:CUBA
Practice Address - State:MO
Practice Address - Zip Code:65453-1636
Practice Address - Country:US
Practice Address - Phone:573-677-2006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-22
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2001597207Q00000X
MO2022008012363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine