Provider Demographics
NPI:1427298504
Name:KOT, MARCY CARTER (APRN)
Entity type:Individual
Prefix:MRS
First Name:MARCY
Middle Name:CARTER
Last Name:KOT
Suffix:
Gender:
Credentials:APRN
Other - Prefix:MISS
Other - First Name:MARCY
Other - Middle Name:CARTER
Other - Last Name:RADEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:7450 KESSLER ST STE 300
Mailing Address - Street 2:
Mailing Address - City:MERRIAM
Mailing Address - State:KS
Mailing Address - Zip Code:66204-2550
Mailing Address - Country:US
Mailing Address - Phone:913-632-2900
Mailing Address - Fax:913-831-6883
Practice Address - Street 1:7450 KESSLER ST STE 300
Practice Address - Street 2:
Practice Address - City:MERRIAM
Practice Address - State:KS
Practice Address - Zip Code:66204-2550
Practice Address - Country:US
Practice Address - Phone:913-632-2900
Practice Address - Fax:913-831-6883
Is Sole Proprietor?:No
Enumeration Date:2009-03-02
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS46333363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily