Provider Demographics
NPI:1841531282
Name:RAINS, KRISTINE LUELLA (APRN)
Entity type:Individual
Prefix:MRS
First Name:KRISTINE
Middle Name:LUELLA
Last Name:RAINS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:10550 MARTY ST STE 201
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-2557
Mailing Address - Country:US
Mailing Address - Phone:913-341-4000
Mailing Address - Fax:913-383-2868
Practice Address - Street 1:10550 MARTY ST STE 201
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-2557
Practice Address - Country:US
Practice Address - Phone:913-341-4000
Practice Address - Fax:913-383-2868
Is Sole Proprietor?:No
Enumeration Date:2013-03-11
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS14-143751-091163W00000X
MO2016002931163W00000X
MO2020013780363LF0000X
KS53-79468-091363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse