Provider Demographics
NPI:1063951697
Name:KIPP ENDEAVOR ACADEMY
Entity type:Organization
Organization Name:KIPP ENDEAVOR ACADEMY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:OLSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-241-3994
Mailing Address - Street 1:2700 E 18TH ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64127-2695
Mailing Address - Country:US
Mailing Address - Phone:816-241-3994
Mailing Address - Fax:816-241-3339
Practice Address - Street 1:2700 E 18TH ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64127-2695
Practice Address - Country:US
Practice Address - Phone:816-241-3994
Practice Address - Fax:816-241-3339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-15
Last Update Date:2017-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)