Provider Demographics
NPI:1992345813
Name:BAKER, KRISTIN (APRN FNP)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:
Last Name:BAKER
Suffix:
Gender:F
Credentials:APRN FNP
Other - Prefix:
Other - First Name:KRISTIN
Other - Middle Name:
Other - Last Name:VAN FLEET
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2340 E MEYER BLVD STE 348
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64132-1129
Mailing Address - Country:US
Mailing Address - Phone:816-601-3990
Mailing Address - Fax:
Practice Address - Street 1:2316 E MEYER BLVD
Practice Address - Street 2:1 WEST
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64132
Practice Address - Country:US
Practice Address - Phone:816-601-3990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-08
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2019023262363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily