Healthcare Provider Details

I. General information

NPI: 1841148830
Provider Name (Legal Business Name): KRISTIE L MCCLENDON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/17/2026
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1807 E 76TH ST
KANSAS CITY MO
64132-2150
US

IV. Provider business mailing address

1807 E 76TH ST
KANSAS CITY MO
64132-2150
US

V. Phone/Fax

Practice location:
  • Phone: 816-520-4353
  • Fax:
Mailing address:
  • Phone: 816-520-4353
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number10901
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: