Individual
ABIGAIL R RAYNOLDS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
8550 MARSHALL DR, STE 100, LENEXA, KS 66214-1505
(913) 894-1500
(913) 894-1502
Mailing address
8550 MARSHALL DR, STE 100, LENEXA, KS 66214-1505
(913) 894-1500
(913) 894-1502
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
097940
MO
163WG0000X
General Practice Registered Nurse
13-48978-101
KS
363LA2200X
Adult Health Nurse Practitioner
Primary
097940
MO
363LA2200X
Adult Health Nurse Practitioner
44902
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
097940
MO ANP LICENSE
MO
01
—
44902
KS ARNP LICENSE
KS
Enumeration date
06/25/2006
Last updated
09/11/2025
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