Healthcare Provider Details

I. General information

NPI: 1962428961
Provider Name (Legal Business Name): KATHRYN GLADDEN BARNDS ARNP, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

721 N 31ST ST
KANSAS CITY KS
66102-3964
US

IV. Provider business mailing address

1728 W 35TH ST
KANSAS CITY MO
64111-3706
US

V. Phone/Fax

Practice location:
  • Phone: 913-281-6457
  • Fax:
Mailing address:
  • Phone: 816-753-5860
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number64075
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number123189
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: