Provider Demographics
NPI:1750376802
Name:TORLINE, KRISTI MICHELLE
Entity type:Individual
Prefix:
First Name:KRISTI
Middle Name:MICHELLE
Last Name:TORLINE
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 1:10600 QUIVIRA RD STE 200
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66215-2311
Mailing Address - Country:US
Mailing Address - Phone:913-541-0990
Mailing Address - Fax:913-541-1452
Practice Address - Street 1:10600 QUIVIRA RD STE 200
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66215-2311
Practice Address - Country:US
Practice Address - Phone:913-541-0990
Practice Address - Fax:913-541-1452
Is Sole Proprietor?:No
Enumeration Date:2005-09-14
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS15-01371363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSA22000005OtherMEDICARE
KS200640010AMedicaid
KSA22000005OtherMEDICARE