Individual provider · Type 1 NPI

Kathryn Walenz, P.A.-C

Surgical Physician Assistant · Kansas City, KS

NPI number 1679858997 Active

Practice location

3901 Rainbow Blvd, Suite G600, Mailstop 4035
Kansas City, KS 66103-2937

Mailing address

4919 Farnam St, Apt 1E
Omaha, NE 68132-3521

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X15-01486 (KS)
Surgical Physician Assistant Primary 363AS0400X15-01486 (KS)
Medical Physician Assistant 363AM0700X1697 (NE)
Surgical Physician Assistant 363AS0400X1697 (NE)

Surgical Physician Assistant: Definition to come...

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About NPI 1679858997

Kathryn Walenz, P.A.-C's National Provider Identifier is 1679858997, issued on Oct 18, 2011. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Kansas City, KS. The record was last updated on May 22, 2013.