Healthcare Provider Details

I. General information

NPI: 1760812242
Provider Name (Legal Business Name): KIMBERLY JUNE GATLIN X APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/19/2013
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1381 S ROBINSON DR.
OLATHE KS
66061
US

IV. Provider business mailing address

1381 S ROBINSON DR.
OLATHE KS
66061
US

V. Phone/Fax

Practice location:
  • Phone: 913-971-6992
  • Fax: 833-318-2099
Mailing address:
  • Phone: 913-971-6992
  • Fax: 833-318-2099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number82780
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: