Provider Demographics
NPI:1225894835
Name:SUGDEN, KATE (FNP-C)
Entity Type:Individual
Prefix:
First Name:KATE
Middle Name:
Last Name:SUGDEN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14545 S GLEN EYRIE ST
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-8540
Mailing Address - Country:US
Mailing Address - Phone:913-579-4361
Mailing Address - Fax:
Practice Address - Street 1:5100 W 110TH ST STE 120
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1215
Practice Address - Country:US
Practice Address - Phone:913-234-7600
Practice Address - Fax:816-361-5775
Is Sole Proprietor?:No
Enumeration Date:2024-02-22
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2024005318363LF0000X
KS53-82960-101363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily