Basic Information
Provider Information
NPI: 1285290940
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KLOEPPEL
FirstName: VERONICA
MiddleName: PILAR
NamePrefix: MRS.
NameSuffix:  
Credential: FNP, CNM
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 843966
Address2:  
City: KANSAS CITY
State: MO
PostalCode: 641843966
CountryCode: US
TelephoneNumber: 5738843300
FaxNumber: 5738840943
Practice Location
Address1: 404 N KEENE ST
Address2:  
City: COLUMBIA
State: MO
PostalCode: 652016626
CountryCode: US
TelephoneNumber: 5734996084
FaxNumber: 5734996088
Other Information
ProviderEnumerationDate: 05/17/2019
LastUpdateDate: 09/02/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/14/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X2012033989MON Nursing Service ProvidersRegistered Nurse 
363LF0000X2019018003MON Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
367A00000X2021029100MOY Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 

No ID Information.


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