Provider Demographics
NPI:1023213501
Name:BORN, WENDI KAY (PHD)
Entity Type:Individual
Prefix:DR
First Name:WENDI
Middle Name:KAY
Last Name:BORN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3901 RAINBOW BLVD MS
Mailing Address - Street 2:MS 4010
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160
Mailing Address - Country:US
Mailing Address - Phone:913-588-1944
Mailing Address - Fax:
Practice Address - Street 1:DEPT OF FAMILY MEDICINE K U MEDICAL CTR
Practice Address - Street 2:MAIL STOP 4010, 3901 RAINBOW BLVD.
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-0001
Practice Address - Country:US
Practice Address - Phone:913-588-1944
Practice Address - Fax:913-588-2496
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-15
Last Update Date:2014-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1193103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical