Provider Demographics
NPI:1033449889
Name:PLUNKETT, KATHERINE (DPT)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:
Last Name:PLUNKETT
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8900 STATE LINE RD
Mailing Address - Street 2:SUITE 333
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66206-1960
Mailing Address - Country:US
Mailing Address - Phone:913-491-9404
Mailing Address - Fax:913-754-0365
Practice Address - Street 1:8900 STATE LINE RD
Practice Address - Street 2:SUITE 333
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66206-1960
Practice Address - Country:US
Practice Address - Phone:913-491-9404
Practice Address - Fax:913-754-0365
Is Sole Proprietor?:No
Enumeration Date:2009-12-29
Last Update Date:2013-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2009038288225100000X
KS1104528225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSL34000009Medicare PIN