Provider Demographics
NPI:1851112106
Name:BIRD, KALEE MARIE (APRN)
Entity type:Individual
Prefix:MRS
First Name:KALEE
Middle Name:MARIE
Last Name:BIRD
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:KALEE
Other - Middle Name:MARIE
Other - Last Name:WHITMORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:509 OLIVE CT
Mailing Address - Street 2:
Mailing Address - City:MULVANE
Mailing Address - State:KS
Mailing Address - Zip Code:67110-1662
Mailing Address - Country:US
Mailing Address - Phone:316-655-8776
Mailing Address - Fax:
Practice Address - Street 1:9825 E SHANNON WOODS CIR
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67226-4100
Practice Address - Country:US
Practice Address - Phone:316-634-2000
Practice Address - Fax:316-634-2321
Is Sole Proprietor?:No
Enumeration Date:2024-10-21
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-83708-081363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily