Healthcare Provider Details

I. General information

NPI: 1073722799
Provider Name (Legal Business Name): MALANA K. KUIPER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3310 CLINTON PARKWAY CT
LAWRENCE KS
66047-2629
US

IV. Provider business mailing address

3310 CLINTON PARKWAY CT
LAWRENCE KS
66047-2629
US

V. Phone/Fax

Practice location:
  • Phone: 785-856-9090
  • Fax: 785-856-9093
Mailing address:
  • Phone: 785-856-9090
  • Fax: 785-856-9093

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number33011
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: