Provider Demographics
NPI:1518294503
Name:LIGGETT, KARI L (NP)
Entity Type:Individual
Prefix:
First Name:KARI
Middle Name:L
Last Name:LIGGETT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:KARI
Other - Middle Name:
Other - Last Name:MENTZER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:12140 NALL AVE
Mailing Address - Street 2:STE 305
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66209
Mailing Address - Country:US
Mailing Address - Phone:913-948-6400
Mailing Address - Fax:913-948-6499
Practice Address - Street 1:12140 NALL AVE
Practice Address - Street 2:STE 305
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66209
Practice Address - Country:US
Practice Address - Phone:913-948-6400
Practice Address - Fax:913-948-6499
Is Sole Proprietor?:No
Enumeration Date:2009-11-11
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2009035395363L00000X
KS53-75055-041363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSP00886766OtherRR MEDICARE
MO115000005Medicare PIN
KS115A00006Medicare PIN