MRS. MARY REBECCA KELLAM-UPTON MSN FNP NPI 1134192925

NPI Information

NPI: 1134192925
Provider Name: MRS. MARY REBECCA KELLAM-UPTON, MSN FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2316 E MEYER BLVD
KANSAS CITY, MO
ZIP 64132
Phone: (816) 276-4700
Get Directions

MRS. Mary Rebecca Kellam-upton, MSN FNP is a family nurse practitioner in Kansas City, MO with 24 years of experience. MRS. Mary Rebecca Kellam-upton, MSN FNP NPI is 1134192925. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2316 E MEYER BLVD
KANSAS CITY, MO
ZIP 64132-136
Phone: (816) 276-4700
Fax: (816) 276-4700

The NPI 1134192925 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/10/2006 and was last updated on 1/28/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	45130	KANSAS	No
2	363LF0000X	Nurse Practitioner	Family	079829	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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