Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lakeisha Kelly

Individual provider Nurse Practitioner · NPI 1194496307

Lakeisha Kelly is a Nurse Practitioner in Kansas City, Missouri. Qualified in 2021, 5 years ago. Practices with Eon Care Services LLC, a 21-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
5
Licensed in
MO
In the registry since
2021
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Practice location Address checks out

6119 N Evans Ave
Kansas City, MO 64151-2162
Phone: (816) 868-0788
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 2021016504 (MO)

Record details

NPI number1194496307
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 27, 2021
Last updated in NPPESSeptember 27, 2021
Certification dateSeptember 27, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Eon Care Services Llc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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