MEDICARE: KRISTIN SCHMIDT NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	5383262111	KS

General Provider Information

NPI Number	:	1215770425
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTIN SCHMIDT NP

Provider Business Mailing Address
First Line	:	10787 NALL AVE STE 200
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66211-1371
Country	:	US
Telephone Number	:	913-491-3300
Fax Number	:	913-491-3300

Provider Business Practice Location Address
First Line	:	10787 NALL AVE STE 200
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66211-1371
Country	:	US
Telephone Number	:	913-491-3300
Fax Number	:	913-491-0904

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2024
Last Update Date	:	06/15/2024

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