Provider Demographics
NPI:1558784389
Name:AUSTIN, KRISTEN (APRN)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:
Last Name:AUSTIN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4501 COLLEGE BLVD STE 250
Mailing Address - Street 2:
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1921
Mailing Address - Country:US
Mailing Address - Phone:913-362-0044
Mailing Address - Fax:913-660-1612
Practice Address - Street 1:4501 COLLEGE BLVD STE 250
Practice Address - Street 2:
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66211-1921
Practice Address - Country:US
Practice Address - Phone:913-362-0044
Practice Address - Fax:913-660-1612
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-30
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS76255363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health