Healthcare Provider Details

I. General information

NPI: 1225730344
Provider Name (Legal Business Name): KATHRYN POPPER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2023
Last Update Date: 03/21/2023
Certification Date: 03/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6401 ROCKHILL RD
KANSAS CITY MO
64131-1122
US

IV. Provider business mailing address

6401 ROCKHILL RD
KANSAS CITY MO
64131-1122
US

V. Phone/Fax

Practice location:
  • Phone: 816-363-1898
  • Fax: 816-822-7711
Mailing address:
  • Phone: 816-363-1898
  • Fax: 816-822-7711

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: