Provider Demographics
NPI:1265024426
Name:KAUB, LENZI R (DNP)
Entity type:Individual
Prefix:MRS
First Name:LENZI
Middle Name:R
Last Name:KAUB
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31667 W 231ST ST
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:KS
Mailing Address - Zip Code:66083-6108
Mailing Address - Country:US
Mailing Address - Phone:913-787-0363
Mailing Address - Fax:
Practice Address - Street 1:29475 W 189TH TER
Practice Address - Street 2:
Practice Address - City:GARDNER
Practice Address - State:KS
Practice Address - Zip Code:66030-9428
Practice Address - Country:US
Practice Address - Phone:913-856-5577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-09
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-79957-021363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily