Provider Demographics
NPI:1730390568
Name:STANLEY, KATHRYN NIELSON (DDS)
Entity type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:NIELSON
Last Name:STANLEY
Suffix:
Gender:F
Credentials:DDS
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Mailing Address - Street 1:8575 W. 110TH STREET
Mailing Address - Street 2:SUITE 310
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-3011
Mailing Address - Country:US
Mailing Address - Phone:913-345-0331
Mailing Address - Fax:913-345-2601
Practice Address - Street 1:8575 W 110TH ST
Practice Address - Street 2:SUITE 310
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-1868
Practice Address - Country:US
Practice Address - Phone:913-345-0331
Practice Address - Fax:913-345-2601
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2015-05-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS604721223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry