Healthcare Provider Details

I. General information

NPI: 1760297832
Provider Name (Legal Business Name): DARLENE GASKINS EDD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2025
Last Update Date: 02/07/2025
Certification Date: 02/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4801 E LINWOOD BLVD
KANSAS CITY MO
64128-2226
US

IV. Provider business mailing address

7103 OLD MILFORD RD
MILFORD KS
66514-9401
US

V. Phone/Fax

Practice location:
  • Phone: 816-922-2086
  • Fax: 816-922-4859
Mailing address:
  • Phone: 785-209-8761
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License Number1459811012
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: