KENDALL STALEY
NPI 1063222818
Student in an Organized Health Care Education/Training Program in Leavenworth, KS

Active since January 13, 2025
4100 S 4TH ST, LEAVENWORTH, KS 66048(913) 758-6118 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kendall Staley NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENDALL STALEY (NPI 1063222818) is an individual student in an organized health care education/training program in Leavenworth, Kansas and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1063222818
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKENDALL STALEY
Location Address4100 S 4TH STLeavenworth, KS 66048-5082
Mailing Address9803 Westminster CtLenexa, KS 66215-1416 · (913) 800-0861
Sole ProprietorYes
Enumeration DateJanuary 13, 2025
NPPES CertifiedJanuary 13, 2025
NPI 1063222818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4100 S 4TH ST, Leavenworth, KS 66048

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
4100 S 4TH ST
LEAVENWORTH, KS 66048
Specialist/Technologist (Athletic Trainer)
4100 S 4TH ST
LEAVENWORTH, KS 66048
Student in an Organized Health Care Education/Training Program
4100 S 4TH ST
LEAVENWORTH, KS 66048
Specialist/Technologist (Athletic Trainer)
4100 S 4TH ST
LEAVENWORTH, KS 66048
Nurse Practitioner (Family)
4100 S 4TH ST
LEAVENWORTH, KS 66048
Specialist/Technologist (Athletic Trainer)
4100 S 4TH ST
LEAVENWORTH, KS 66048
Specialist/Technologist (Athletic Trainer)
4100 S 4TH ST
LEAVENWORTH, KS 66048
Emergency Medicine (Sports Medicine)
4100 S 4TH ST
LEAVENWORTH, KS 66048

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kendall Staley's NPI number?

The NPI number for Kendall Staley is 1063222818. It was assigned to this individual provider in the NPPES registry on January 13, 2025.

Where is Kendall Staley located?

Kendall Staley practices at 4100 S 4th St, Leavenworth, KS 66048. The listed phone number is (913) 758-6118.

What is Kendall Staley's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kendall Staley was last updated on January 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.