Kelli K Hoffman, FNP
Individual provider Active NPI Family Nurse Practitioner · Lathrop, MO
NPI 1639414725 · NPPES record last updated Nov 30, 2012
Key facts
- NPI
- 1639414725
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 2012039957 (MO)
- Practice address
- 106 North St
Lathrop, MO 64465-9609 - Phone
- (816) 740-3282
- Fax
- (816) 528-3003
- NPI assigned
- Nov 30, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excelsior Springs City Hospital | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2012039957 | MO | Yes |
Addresses
Primary practice location
106 North St
Lathrop, MO 64465-9609
Mailing address
1600 E Evergreen St
Cameron, MO 64429-2400
Phone (816) 632-2101
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All providers in Lathrop, MO · Family Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.