Healthcare Provider Details

I. General information

NPI: 1780641449
Provider Name (Legal Business Name): KATHERINE B SCHUKAI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2006
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5808 W 110TH ST
OVERLAND PARK KS
66211-2504
US

IV. Provider business mailing address

5808 W 110TH ST ATTN: CMS URGENT CARE CENTER
OVERLAND PARK KS
66211-2504
US

V. Phone/Fax

Practice location:
  • Phone: 913-696-8000
  • Fax: 816-302-9939
Mailing address:
  • Phone: 913-696-8228
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0427887
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code2080P0204X
TaxonomyPediatric Emergency Medicine (Pediatrics) Physician
License Number0427887
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: