Healthcare Provider Details

I. General information

NPI: 1376482216
Provider Name (Legal Business Name): YENSI LIZELLE MUNOZ DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7900 LEES SUMMIT RD
KANSAS CITY MO
64139-1236
US

IV. Provider business mailing address

100 S GENEVA RD UNIT N302
OREM UT
84059-5672
US

V. Phone/Fax

Practice location:
  • Phone: 816-404-4862
  • Fax: 816-404-7716
Mailing address:
  • Phone: 619-757-4458
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: