Individual provider · Type 1 NPI

Kylie Immethun Gaustad, NP-C

Family Nurse Practitioner · Kansas City, KS

NPI number 1487022471 Active

Practice location

6013 Leavenworth Rd
Kansas City, KS 66104-1436

Mailing address

3801 Dr Martin Luther King Jr Blvd
Kansas City, MO 64130-2807

Other practice locations

  • 4835 State Ave, Kansas City, KS 66102-1747 · (816) 599-5020
  • 21 N 12th St Ste 400, Kansas City, KS 66102-5172 · (816) 599-5111

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X53-76912-101 (KS)

Family Nurse Practitioner: Definition to come...

5 other providers at this address

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About NPI 1487022471

Kylie Immethun Gaustad, NP-C's National Provider Identifier is 1487022471, issued on Sep 8, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Kansas City, KS. The record was last updated on Oct 28, 2026.