Most Relevant Information
Provider Data
| NPI Number: | 1003542127 |
| Provider Name: | DYLAN TRENT SEVERSON DNP, APRN, FNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 2022022667 |
Most Important Dates
| Enumeration Date: | 07/29/2022 |
| Last Updated: | 10/06/2022 |
Provider Practice Location
340 SOUTHWEST BLVD
KANSAS CITY
KS
661032150
Practice Location Phone/Fax
| Phone: | 9137223100 |
| Fax: | 9137222542 |
Provider Mailing Location
5212 N SPRUCE AVE
KANSAS CITY
MO
641192833
Provider Mailing Phone/Fax
| Phone: | 3163058049 |
| Fax: |