| NPI | 1538200357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWIGHT CARVELL Director Of Reimbursement 816-273-0473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MO 426-10) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MO 426-10) |
| 207V00000X Obstetrics & Gynecology (Licence: MO 426-10) | |
| 207X00000X Orthopaedic Surgery (Licence: MO 426-10) | |
| 207Y00000X Otolaryngology (Licence: MO 426-10) | |
| 207L00000X Anesthesiology | |
| 207R00000X Internal Medicine (Licence: MO 426-10) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MO 426-10) | |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: MO 426-10) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: MO 426-10) | |
| 207RR0500X Internal Medicine Rheumatology (Licence: MO 426-10) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MO 426-10) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MO 426-10) | |
| 208600000X Surgery (Licence: MO 426-10) | |
| 2086S0129X Surgery Vascular Surgery (Licence: MO 426-10) | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2023-01-11 |