Individual provider · Type 1 NPI

Bethany Cardoza

Student in an Organized Health Care Education/Training Program · Lees Summit, MO

NPI number 1669389771 Active

Practice location

100 NE Saint Lukes Blvd
Lees Summit, MO 64086-6000

Call (816) 347-4912 Map

Mailing address

5242 Lucille Ln
Shawnee, KS 66203-1474

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X3-116746 (KS)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1669389771

Bethany Cardoza's National Provider Identifier is 1669389771, issued on Aug 25, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lees Summit, MO. The record was last updated on Aug 25, 2026.