Healthcare Provider Details

I. General information

NPI: 1861328643
Provider Name (Legal Business Name): KATHLEEN SCHWARTZ
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4901 COLLEGE BLVD
LEAWOOD KS
66211-1602
US

IV. Provider business mailing address

5101 COLLEGE BLVD
LEAWOOD KS
66211-1614
US

V. Phone/Fax

Practice location:
  • Phone: 913-721-3387
  • Fax:
Mailing address:
  • Phone: 913-721-3387
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number43-558402-122
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: