Healthcare Provider Details

I. General information

NPI: 1629873633
Provider Name (Legal Business Name): KARA KYLENE RAWLINS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KARA KYLENE KING

II. Dates (important events)

Enumeration Date: 02/14/2025
Last Update Date: 02/14/2025
Certification Date: 02/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4801 E LINWOOD BLVD
KANSAS CITY MO
64128-2226
US

IV. Provider business mailing address

908 HAWTHORNE DR
LIBERTY MO
64068-4329
US

V. Phone/Fax

Practice location:
  • Phone: 816-861-4700
  • Fax:
Mailing address:
  • Phone: 816-824-4055
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License Number2011019081
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: