Healthcare Provider Details

I. General information

NPI: 1558294322
Provider Name (Legal Business Name): WHITNEY KRAUS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10850 LOWELL AVE
OVERLAND PARK KS
66210-1613
US

IV. Provider business mailing address

11700 E 58TH TER
KANSAS CITY MO
64133-3536
US

V. Phone/Fax

Practice location:
  • Phone: 913-234-0700
  • Fax:
Mailing address:
  • Phone: 785-248-3630
  • 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: