Provider Demographics
NPI:1326718115
Name:MURIUKI, EDITH KENDI (NP)
Entity Type:Individual
Prefix:
First Name:EDITH
Middle Name:KENDI
Last Name:MURIUKI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:993 SW AYRSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64081-2694
Mailing Address - Country:US
Mailing Address - Phone:605-202-9042
Mailing Address - Fax:
Practice Address - Street 1:13725 METCALF AVE, STE 382
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66223-7899
Practice Address - Country:US
Practice Address - Phone:816-215-6602
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-14
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2021031908363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health