Healthcare Provider Details

I. General information

NPI: 1740226810
Provider Name (Legal Business Name): ROBYN LYNNE CAMPBELL ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ROBYN LYNNE DURST ARNP

II. Dates (important events)

Enumeration Date: 06/20/2006
Last Update Date: 02/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 NW MURRAY RD SUITE 210
LEES SUMMIT MO
64081-1204
US

IV. Provider business mailing address

600 NW MURRAY RD SUITE 210
LEES SUMMIT MO
64081-1204
US

V. Phone/Fax

Practice location:
  • Phone: 816-524-2626
  • Fax: 816-524-0173
Mailing address:
  • Phone: 816-524-2626
  • Fax: 816-524-0173

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number45390
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number124578
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: