Healthcare Provider Details

I. General information

NPI: 1043159338
Provider Name (Legal Business Name): SARAH KERNICKY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9784 N ASH AVE
KANSAS CITY MO
64157-9742
US

IV. Provider business mailing address

9784 N ASH AVE
KANSAS CITY MO
64157-9742
US

V. Phone/Fax

Practice location:
  • Phone: 816-207-0070
  • Fax:
Mailing address:
  • Phone: 816-207-0070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number2026000315
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: