Healthcare Provider Details

I. General information

NPI: 1700333473
Provider Name (Legal Business Name): KATE CHRISTINE PORAZZO APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KATE CHRISTINE STEINHIBEL APRN

II. Dates (important events)

Enumeration Date: 09/09/2016
Last Update Date: 02/20/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8340 MISSION ROAD
PRAIRIE VILLAGE KS
66206-1339
US

IV. Provider business mailing address

8340 MISSION ROAD
PRAIRIE VILLAGE KS
66206-1339
US

V. Phone/Fax

Practice location:
  • Phone: 913-642-2100
  • Fax: 913-642-2127
Mailing address:
  • Phone: 913-642-2100
  • Fax: 913-642-2127

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2016014239
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number13-109663-081
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number2014022222
License Number StateMO
# 4
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number53-77293-081
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: