Provider Demographics
NPI:1720134737
Name:MOLITOR-KIRSCH, SHIRLEY ANN (PNP-AC)
Entity type:Individual
Prefix:
First Name:SHIRLEY
Middle Name:ANN
Last Name:MOLITOR-KIRSCH
Suffix:
Gender:F
Credentials:PNP-AC
Other - Prefix:
Other - First Name:SHIRLEY
Other - Middle Name:ANN
Other - Last Name:MOLITOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PCCNP
Mailing Address - Street 1:2401 GILLHAM RD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108-4619
Mailing Address - Country:US
Mailing Address - Phone:816-701-5200
Mailing Address - Fax:
Practice Address - Street 1:2401 GILLHAM RD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108-4619
Practice Address - Country:US
Practice Address - Phone:816-234-3265
Practice Address - Fax:816-855-1700
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-45957-011363LP0200X
MO2006029960363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics