Healthcare Provider Details

I. General information

NPI: 1609643162
Provider Name (Legal Business Name): LUNDEN WITTE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2023
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 NE 46TH ST
KANSAS CITY MO
64116-2042
US

IV. Provider business mailing address

2501 NE 47TH ST
KANSAS CITY MO
64116-2035
US

V. Phone/Fax

Practice location:
  • Phone: 816-321-5000
  • Fax:
Mailing address:
  • Phone: 816-321-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2026039739
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: