Provider Demographics
NPI:1912259433
Name:KLOSTERMANN-FELD, LAURA LEIGH (MSN, APRN)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:LEIGH
Last Name:KLOSTERMANN-FELD
Suffix:
Gender:F
Credentials:MSN, APRN
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:LEIGH
Other - Last Name:CONROY-FELD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSN, APRN
Mailing Address - Street 1:13643 HOLMES RD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64145-1482
Mailing Address - Country:US
Mailing Address - Phone:816-599-7382
Mailing Address - Fax:816-775-2477
Practice Address - Street 1:13440 HOLMES RD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64145-1446
Practice Address - Country:US
Practice Address - Phone:816-599-7382
Practice Address - Fax:816-775-2477
Is Sole Proprietor?:No
Enumeration Date:2012-10-08
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-75834-012363LF0000X
MO20080178733363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily