Healthcare Provider Details

I. General information

NPI: 1003741174
Provider Name (Legal Business Name): KAYLA R HOWARD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11860 83RD TER APT 6211
LENEXA KS
66215-4519
US

IV. Provider business mailing address

11860 83RD TER APT 6211
LENEXA KS
66215-4519
US

V. Phone/Fax

Practice location:
  • Phone: 913-991-7356
  • Fax:
Mailing address:
  • Phone: 913-991-7356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLMSW14666
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: