Healthcare Provider Details

I. General information

NPI: 1033042346
Provider Name (Legal Business Name): LAURA CATHERINE KEMBOI BSN, PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 HIGHWAY TER
LEAVENWORTH KS
66048-5021
US

IV. Provider business mailing address

7950 BLUE RIDGE BLVD
RAYTOWN MO
64138-1301
US

V. Phone/Fax

Practice location:
  • Phone: 615-263-3000
  • Fax:
Mailing address:
  • Phone: 913-390-3073
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number163580
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number14-154457-061
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: