Basic Information
Provider Information
NPI: 1265611636
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ADKINS
FirstName: KRISTY
MiddleName: MENG
NamePrefix: MRS.
NameSuffix:  
Credential: R.N.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: ADKINS
OtherFirstName: KRISTY
OtherMiddleName: LY
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: R.N.
OtherLastNameType: 1
Mailing Information
Address1: 4801 E LINWOOD BLVD
Address2:  
City: KANSAS CITY
State: MO
PostalCode: 641282226
CountryCode: US
TelephoneNumber: 8168614700
FaxNumber:  
Practice Location
Address1: 4801 E LINWOOD BLVD
Address2:  
City: KANSAS CITY
State: MO
PostalCode: 641282226
CountryCode: US
TelephoneNumber: 8168614700
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/01/2007
LastUpdateDate: 11/01/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
282N00000X144356MOY HospitalsGeneral Acute Care Hospital 

No ID Information.


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