Provider Demographics
NPI:1750172409
Name:DUNLOP, KATIE LYN (PA)
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:LYN
Last Name:DUNLOP
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2330 E MEYER BLVD STE 505
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64132-1152
Mailing Address - Country:US
Mailing Address - Phone:913-313-7442
Mailing Address - Fax:
Practice Address - Street 1:2330 E MEYER BLVD STE 505
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64132-1152
Practice Address - Country:US
Practice Address - Phone:913-313-7442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-13
Last Update Date:2025-06-30
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant