NPI 1205641123 · live from the CMS NPI Registry
Anna Caudle, RN
Registered Nurse, General Practice in Kansas City, MO. National Provider Identifier 1205641123, active.
NPI record
| NPI | 1205641123 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, General Practice 163WG0000X |
| Practice location | 4801 E Linwood Blvd, Kansas City, MO 64128 |
| Practice phone | 816-861-4700 |
| Mailing address | 302 Pine Ave, Denton, KS 66017 |
| Enumerated | February 10, 2025 |
| Last updated | February 10, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, General Practice primary | 163WG0000X | 14-125255-122 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.