Healthcare Provider Details

I. General information

NPI: 1831006238
Provider Name (Legal Business Name): ELIZABETH KINATE MOTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 VICTORY LN
LIBERTY MO
64068-1920
US

IV. Provider business mailing address

8602 NE 103RD TER
KANSAS CITY MO
64157-8042
US

V. Phone/Fax

Practice location:
  • Phone: 816-736-6800
  • Fax:
Mailing address:
  • Phone: 816-835-9525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number2010015715
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: