Healthcare Provider Details

I. General information

NPI: 1295899961
Provider Name (Legal Business Name): MICHAEL SINKULE RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9727 TALLGRASS DR
LENEXA KS
66220-3721
US

IV. Provider business mailing address

9727 TALLGRASS DR
LENEXA KS
66220-3721
US

V. Phone/Fax

Practice location:
  • Phone: 913-706-0567
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number14-87980-111
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number58716
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: