Provider Demographics
NPI:1033465844
Name:KEARNS, NOEL DENISE (ATR-BC)
Entity Type:Individual
Prefix:MRS
First Name:NOEL
Middle Name:DENISE
Last Name:KEARNS
Suffix:
Gender:F
Credentials:ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64106-1209
Mailing Address - Country:US
Mailing Address - Phone:816-916-9334
Mailing Address - Fax:
Practice Address - Street 1:508 WALNUT ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64106-1209
Practice Address - Country:US
Practice Address - Phone:816-916-9334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-30
Last Update Date:2012-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist