Provider Demographics
NPI:1063043263
Name:KINDALL, BROOKE (CNM APRN)
Entity Type:Individual
Prefix:
First Name:BROOKE
Middle Name:
Last Name:KINDALL
Suffix:
Gender:F
Credentials:CNM APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5401 NW 95TH ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64154-7811
Mailing Address - Country:US
Mailing Address - Phone:913-626-8021
Mailing Address - Fax:
Practice Address - Street 1:2000 SE BLUE PKWY STE 270
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64063-1041
Practice Address - Country:US
Practice Address - Phone:816-333-5005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-28
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife