Provider Demographics
NPI:1932834702
Name:KUIPERS, SARAH JANE (IBCLC)
Entity Type:Individual
Prefix:
First Name:SARAH JANE
Middle Name:
Last Name:KUIPERS
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:SARAH JANE
Other - Middle Name:
Other - Last Name:ABLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14421 WINDSOR ST
Mailing Address - Street 2:
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66224-3669
Mailing Address - Country:US
Mailing Address - Phone:816-377-2913
Mailing Address - Fax:
Practice Address - Street 1:672 SE BAYBERRY LN
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64063-4377
Practice Address - Country:US
Practice Address - Phone:816-281-7558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-18
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
L-307739174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN