Provider Demographics
NPI:1144535931
Name:WEYBREW, KARY (RN,WHNP)
Entity type:Individual
Prefix:
First Name:KARY
Middle Name:
Last Name:WEYBREW
Suffix:
Gender:F
Credentials:RN,WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4401 W 109TH ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1303
Mailing Address - Country:US
Mailing Address - Phone:913-312-5100
Mailing Address - Fax:
Practice Address - Street 1:1001 EMANUEL CLEAVER II BLVD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64110-1687
Practice Address - Country:US
Practice Address - Phone:816-756-2277
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-17
Last Update Date:2010-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010026855363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO06215024OtherBLUE CROSS BLUE SHIELD OF KANSAS CITY
03929191OtherCIGNA
4508144OtherAETNA
KS0110035OtherBLUE CROSS BLUE SHIELD OF KANSAS
KS100216210AMedicaid
MO1679614838Medicaid
KS200282660AMedicaid
4507780OtherAETNA
1535310OtherUNITED HEALTHCARE