Provider Demographics
NPI:1750629283
Name:KAESTNER, ANGELA J
Entity Type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:J
Last Name:KAESTNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11627 W 79TH ST
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66214-1488
Mailing Address - Country:US
Mailing Address - Phone:913-341-7077
Mailing Address - Fax:785-865-5695
Practice Address - Street 1:821 ADMIRAL BLVD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64106-1516
Practice Address - Country:US
Practice Address - Phone:816-889-3469
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-17
Last Update Date:2018-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst