Healthcare Provider Details

I. General information

NPI: 1871325068
Provider Name (Legal Business Name): KRISTI COOK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2024
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2790 CLAY EDWARDS DR STE 530
NORTH KANSAS CITY MO
64116-3266
US

IV. Provider business mailing address

2800 CLAY EDWARDS DRIVE CENTRAL
NORTH KANSAS CITY MO
64116
US

V. Phone/Fax

Practice location:
  • Phone: 816-452-3300
  • Fax: 816-453-0677
Mailing address:
  • Phone: 816-452-3300
  • Fax: 816-453-0677

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number2026006824
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: