Provider Demographics
NPI:1952894065
Name:KIRKENDOLL, SHARON (RN, BSN)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:KIRKENDOLL
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2801 ROCKCREEK PARKWAY
Mailing Address - Street 2:MAIL DROP WO411
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64117-2520
Mailing Address - Country:US
Mailing Address - Phone:816-201-1905
Mailing Address - Fax:816-936-7826
Practice Address - Street 1:2801 ROCK CREEK PKWY
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64117-2520
Practice Address - Country:US
Practice Address - Phone:816-209-4349
Practice Address - Fax:816-936-7826
Is Sole Proprietor?:No
Enumeration Date:2018-06-13
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO106414163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management