{"npi":"1265660872","type":"NPI-1","status":"active","name":{"display":"Kathryn Petelin DO","other":[{"code":"1","type":"Formerly known as","value":"THOMPSON, KATHRYN LOUISE"}],"first":"KATHRYN","last":"PETELIN","middle":"LOUISE","credential":"DO"},"specialty":{"primary_taxonomy":"208000000X","primary_taxonomy_description":"Pediatrics","slug":"pediatrics","schema_org_specialty":"Pediatric","all":[{"code":"208000000X","description":"Pediatrics","primary":false,"state":"KS","license":"94-07215"},{"code":"208000000X","description":"Pediatrics","primary":true,"state":"KS","license":"05-35594"}]},"addresses":[{"purpose":"LOCATION","street_1":"7405 RENNER RD","city":"SHAWNEE","state":"KS","postal_code":"662179414","country_code":"US","phone":"9135886300","fax":"9132743515"},{"purpose":"MAILING","street_1":"2106 OLATHE BLVD MS 4004","city":"KANSAS CITY","state":"KS","postal_code":"661600001","country_code":"US","phone":"9135886300","fax":"9132743515"}],"license":{"state":"KS","number":"05-35594"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20120709000347","type_code":"14-37","type_desc":"PRACTITIONER - PEDIATRIC MEDICINE","state":"KS","pac_id":"7517122021"}]},"enumeration_date":"2009-06-23","last_updated":"2025-07-11","_meta":{"source":"NPPES","snapshot_date":"2025-07-11","doc_url":"https://findmynpi.com/api"}}