Healthcare Provider Details

I. General information

NPI: 1760307979
Provider Name (Legal Business Name): LINDSAY DAWN KINNEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11111 NALL AVE STE 219
LEAWOOD KS
66211-1667
US

IV. Provider business mailing address

11111 NALL AVE STE 219
LEAWOOD KS
66211-1667
US

V. Phone/Fax

Practice location:
  • Phone: 913-259-7830
  • Fax:
Mailing address:
  • Phone: 913-259-7830
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number03895T
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: