Provider Demographics
NPI:1659670743
Name:JEAN BAPTISTE, KERLINE (RN)
Entity Type:Individual
Prefix:
First Name:KERLINE
Middle Name:
Last Name:JEAN BAPTISTE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8633 N KANSAS AVE APT 303
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64156-2960
Mailing Address - Country:US
Mailing Address - Phone:816-304-6654
Mailing Address - Fax:
Practice Address - Street 1:11 NE 111TH ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64155-1190
Practice Address - Country:US
Practice Address - Phone:816-304-6654
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-15
Last Update Date:2021-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010021414163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse