Provider Demographics
NPI:1811071350
Name:SVEJDA, KATHLEEN J (CRNA)
Entity type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:J
Last Name:SVEJDA
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:MS
Other - First Name:KATHLEEN
Other - Middle Name:J
Other - Last Name:COGIL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CRNA
Mailing Address - Street 1:5101 COLLEGE BLVD
Mailing Address - Street 2:
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1614
Mailing Address - Country:US
Mailing Address - Phone:816-478-4200
Mailing Address - Fax:816-875-2598
Practice Address - Street 1:4901 COLLEGE BLVD
Practice Address - Street 2:
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66211-1602
Practice Address - Country:US
Practice Address - Phone:816-478-4200
Practice Address - Fax:816-875-2598
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1492025091163W00000X
KS43-55132-091367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO918402306Medicaid
KSP0115349OtherRR MEDICARE
KS200254650AMedicaid
KSP0115349OtherRR MEDICARE