Healthcare Provider Details

I. General information

NPI: 1528990850
Provider Name (Legal Business Name): KATHERINE LUCAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22000 PRAIRIE STAR PKWY
LENEXA KS
66220-7901
US

IV. Provider business mailing address

15017 DEARBORN ST
OVERLAND PARK KS
66223-2936
US

V. Phone/Fax

Practice location:
  • Phone: 913-393-9617
  • Fax:
Mailing address:
  • Phone: 913-982-7610
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number4224
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: