Provider Demographics
NPI:1043099682
Name:DOBBS, TRINITY LYNN (STUDENT)
Entity Type:Individual
Prefix:
First Name:TRINITY
Middle Name:LYNN
Last Name:DOBBS
Suffix:
Gender:F
Credentials:STUDENT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9641 N AMBASSADOR DR UNIT 501
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64154-7274
Mailing Address - Country:US
Mailing Address - Phone:417-437-0431
Mailing Address - Fax:
Practice Address - Street 1:9641 N AMBASSADOR DR UNIT 501
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64154-7274
Practice Address - Country:US
Practice Address - Phone:417-437-0431
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-25
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program