Provider Demographics
NPI:1932138740
Name:SALKIND, MILDRED LEE (APRN)
Entity Type:Individual
Prefix:MRS
First Name:MILDRED
Middle Name:LEE
Last Name:SALKIND
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 1:7301 E FRONTAGE RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SHAWNEE MISSION
Mailing Address - State:KS
Mailing Address - Zip Code:66204-1654
Mailing Address - Country:US
Mailing Address - Phone:913-432-7474
Mailing Address - Fax:913-432-3332
Practice Address - Street 1:7301 E FRONTAGE RD
Practice Address - Street 2:SUITE 200
Practice Address - City:SHAWNEE MISSION
Practice Address - State:KS
Practice Address - Zip Code:66204-1654
Practice Address - Country:US
Practice Address - Phone:913-432-7474
Practice Address - Fax:913-432-3332
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS45862363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO42540624Medicaid