Provider Demographics
NPI:1700333473
Name:PORAZZO, KATE CHRISTINE (APRN)
Entity Type:Individual
Prefix:MRS
First Name:KATE
Middle Name:CHRISTINE
Last Name:PORAZZO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MS
Other - First Name:KATE
Other - Middle Name:CHRISTINE
Other - Last Name:STEINHIBEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:8340 MISSION ROAD
Mailing Address - Street 2:
Mailing Address - City:PRAIRIE VILLAGE
Mailing Address - State:KS
Mailing Address - Zip Code:66206-1339
Mailing Address - Country:US
Mailing Address - Phone:913-642-2100
Mailing Address - Fax:913-642-2127
Practice Address - Street 1:8340 MISSION ROAD
Practice Address - Street 2:
Practice Address - City:PRAIRIE VILLAGE
Practice Address - State:KS
Practice Address - Zip Code:66206-1339
Practice Address - Country:US
Practice Address - Phone:913-642-2100
Practice Address - Fax:913-642-2127
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-09
Last Update Date:2019-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2016014239363LF0000X
KS13-109663-081163W00000X
MO2014022222163W00000X
KS53-77293-081363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty