Provider Demographics
NPI:1942197660
Name:AKIMOTO, KELLIE BROWNING (FNP-C)
Entity type:Individual
Prefix:
First Name:KELLIE
Middle Name:BROWNING
Last Name:AKIMOTO
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:KELLIE
Other - Middle Name:DAWN
Other - Last Name:BROWNING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1236 W 103RD ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114-4513
Mailing Address - Country:US
Mailing Address - Phone:816-941-0980
Mailing Address - Fax:816-941-0980
Practice Address - Street 1:1236 W 103RD ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-4513
Practice Address - Country:US
Practice Address - Phone:816-941-0980
Practice Address - Fax:816-941-0980
Is Sole Proprietor?:No
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2025009031363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner