Healthcare Provider Details

I. General information

NPI: 1811620297
Provider Name (Legal Business Name): KRISTIN J DUNN LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/05/2022
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6501 W 75TH ST
OVERLAND PARK KS
66204-3017
US

IV. Provider business mailing address

10917 NORTHRIDGE DR
KANSAS CITY KS
66109-4900
US

V. Phone/Fax

Practice location:
  • Phone: 574-546-1900
  • Fax:
Mailing address:
  • Phone: 913-428-0745
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number07113
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: