Healthcare Provider Details

I. General information

NPI: 1801723994
Provider Name (Legal Business Name): MCKENNA HARRIS BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MCKENNA WILSON BSN, RN

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10500 QUIVIRA RD
LENEXA KS
66215-2373
US

IV. Provider business mailing address

19821 S CABLE RD
BELTON MO
64012-3619
US

V. Phone/Fax

Practice location:
  • Phone: 913-541-5456
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: