Provider Demographics
NPI:1881440048
Name:TUCHOLKE-SHORTER, LYNNE MARIE
Entity type:Individual
Prefix:MS
First Name:LYNNE
Middle Name:MARIE
Last Name:TUCHOLKE-SHORTER
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:LYNNE
Other - Middle Name:MARIE
Other - Last Name:TUCHOLKE-SHORTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:8356 NW BARRYBROOKE DR
Mailing Address - Street 2:
Mailing Address - City:KC
Mailing Address - State:MO
Mailing Address - Zip Code:64151
Mailing Address - Country:US
Mailing Address - Phone:816-225-1478
Mailing Address - Fax:
Practice Address - Street 1:8356 NW BARRYBROOKE DR
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64151
Practice Address - Country:US
Practice Address - Phone:816-225-1478
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-29
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator