MEDICARE: MRS. KATHERINE EILEEN CHRISTENSEN APRN - NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	2001023150	MO
2	363L00000X	Nurse Practitioner	53-45804	KS
3	363LA2200X	Adult Health Nurse Practitioner	53-45804	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	36824015	OTHER	BCBS
3	925853	OTHER	FIRST GUARD MCO
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083693717
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATHERINE EILEEN CHRISTENSEN APRN - NP

Provider Business Mailing Address
First Line	:	4000 CAMBRIDGE ST STE G600
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66160-8501
Country	:	US
Telephone Number	:	913-588-9600
Fax Number	:

Provider Business Practice Location Address
First Line	:	3901 RAINBOW BLVD
Second Line	:	STE G600
City	:	KANSAS CITY
State	:	KS
Zip	:	66160-8500
Country	:	US
Telephone Number	:	913-588-9600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/11/2006
Last Update Date	:	03/04/2022

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Directions to “ MRS. KATHERINE EILEEN CHRISTENSEN APRN - NP” Practice Location

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