Provider Demographics
NPI:1861700700
Name:MCCONNAUGHEY, KATHRYN L (ARNP)
Entity type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:L
Last Name:MCCONNAUGHEY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12200 W 106TH ST STE 235
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66215-2368
Mailing Address - Country:US
Mailing Address - Phone:913-541-3540
Mailing Address - Fax:913-227-0021
Practice Address - Street 1:12200 W 106TH ST STE 235
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66215-2368
Practice Address - Country:US
Practice Address - Phone:913-541-3540
Practice Address - Fax:913-227-0021
Is Sole Proprietor?:No
Enumeration Date:2010-09-14
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-75228-071363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily