Healthcare Provider Details

I. General information

NPI: 1699622316
Provider Name (Legal Business Name): KENDRA CATES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2026
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 NE MORELAND DR
KANSAS CITY MO
64118-5110
US

IV. Provider business mailing address

415 NE MORELAND DR
KANSAS CITY MO
64118-5110
US

V. Phone/Fax

Practice location:
  • Phone: 816-482-6972
  • Fax:
Mailing address:
  • Phone: 816-482-6972
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number1801192
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: