NPI 1003473778

Kelsie Marie Zimmerman

Practitioner Surgical Physician Assistant Kansas City, KS

Practice location

Address: 4000 Cambridge St, Kansas City, KS 66160-9257
Phone: (913) 588-8503
Mailing address: 6010 Theden St, Shawnee, KS 66218-9257

Registered specialties (2)

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 15-02264 (KS)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1003473778
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 May 2019
Record last updated: 27 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.