Provider Demographics
NPI:1528873460
Name:MENDES, KIMBERLEY (RN, BSN)
Entity type:Individual
Prefix:
First Name:KIMBERLEY
Middle Name:
Last Name:MENDES
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3235 N 66TH ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66104-1314
Mailing Address - Country:US
Mailing Address - Phone:816-922-2411
Mailing Address - Fax:816-922-4835
Practice Address - Street 1:3235 N 66TH ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66104-1314
Practice Address - Country:US
Practice Address - Phone:816-922-2411
Practice Address - Fax:816-922-4835
Is Sole Proprietor?:No
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2013000851163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse