Basic Information
Provider Information
NPI: 1255815528
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KADEL
FirstName: LAUREN
MiddleName: ANN
NamePrefix: MRS.
NameSuffix:  
Credential: FNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4000 CAMBRIDGE ST STE G600
Address2:  
City: KANSAS CITY
State: KS
PostalCode: 661608501
CountryCode: US
TelephoneNumber: 9135887743
FaxNumber:  
Practice Location
Address1: 4000 CAMBRIDGE ST STE G600
Address2:  
City: KANSAS CITY
State: KS
PostalCode: 661606869
CountryCode: US
TelephoneNumber: 9135887743
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/21/2018
LastUpdateDate: 04/21/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/21/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X53-78402-071KSY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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