Kansas City Neurology Associates Llc | |
2000 Se Blue Pkwy Suite 270-a Lees Summit MO 64063-1018 | |
(816) 524-1700 | |
(816) 524-1794 |
Full Name | Kansas City Neurology Associates Llc |
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Speciality | Psychiatry & Neurology |
Location | 2000 Se Blue Pkwy, Lees Summit, Missouri |
Authorized Official Name and Position | Patrick J Kueny (VICE PRESIDENT) |
Authorized Official Contact | 8165084090 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kansas City Neurology Associates Llc 2000 Se Blue Pkwy Suite 270-a Lees Summit MO 64063-1018 Ph: (816) 524-1700 | Kansas City Neurology Associates Llc 2000 Se Blue Pkwy Suite 270-a Lees Summit MO 64063-1018 Ph: (816) 524-1700 |
NPI Number | 1932273737 |
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Provider Enumeration Date | 11/20/2006 |
Last Update Date | 12/30/2009 |
Medicare PECOS PAC ID | 9739284381 |
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Medicare Enrollment ID | O20070410000632 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932273737 | NPI | - | NPPES |
502570609 | Medicaid | MO | |
1932273737 | Medicaid | MO | |
200532770 A | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
Provider Name | Kathryn A Hedges |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1427091776 PECOS PAC ID: 5890890461 Enrollment ID: I20070411000079 |
Provider Name | Melissa Wren |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528482759 PECOS PAC ID: 3072744051 Enrollment ID: I20140317001210 |
Provider Name | Mohamad Saeed Shahidsalles |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1952336943 PECOS PAC ID: 2264538990 Enrollment ID: I20141104000878 |
Provider Name | Jerilyn Freeman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083003552 PECOS PAC ID: 0648595678 Enrollment ID: I20150213000771 |
Provider Name | Deirdre Donaldson |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1164482923 PECOS PAC ID: 9638368228 Enrollment ID: I20150608001960 |
Provider Name | Samantha Kaye Irwin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144828716 PECOS PAC ID: 1850707506 Enrollment ID: I20210304001546 |
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