Provider Demographics
NPI:1124120993
Name:DOLD, NANCY KNACKENDOFFEL (RN, RVT)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:KNACKENDOFFEL
Last Name:DOLD
Suffix:
Gender:F
Credentials:RN, RVT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5244 W 129TH TER
Mailing Address - Street 2:
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66209-3400
Mailing Address - Country:US
Mailing Address - Phone:913-897-9566
Mailing Address - Fax:
Practice Address - Street 1:6400 PROSPECT AVE STE 546
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64132-4133
Practice Address - Country:US
Practice Address - Phone:816-523-7088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO090607246XC2903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246XC2903XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularVascular Specialist