Healthcare Provider Details

I. General information

NPI: 1952851727
Provider Name (Legal Business Name): KENDRA DYAN LAWRENCE N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2016
Last Update Date: 10/13/2025
Certification Date: 10/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5400 N OAK TRFY STE 200
KANSAS CITY MO
64118-4690
US

IV. Provider business mailing address

2800 CLAY EDWARDS DR
NORTH KANSAS CITY MO
64116-3220
US

V. Phone/Fax

Practice location:
  • Phone: 816-453-0900
  • Fax: 816-218-1518
Mailing address:
  • Phone: 816-453-0900
  • Fax: 816-218-1518

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SG0600X
TaxonomyGerontology Clinical Nurse Specialist
License Number95005136
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number95005136
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number2025033507
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: