| Kansas City Palliative Medicine | |
|
9001 State Line Rd Ste 300 Kansas City MO 64114-3212 | |
| (816) 363-2600 | |
| (816) 523-0068 |
| Full Name | Kansas City Palliative Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 9001 State Line Rd Ste 300, Kansas City, Missouri |
| Authorized Official Name and Position | David Wiley (PRESIDENT/CEO) |
| Authorized Official Contact | 8163632600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kansas City Palliative Medicine 9001 State Line Rd Ste 300 Kansas City MO 64114-3212 Ph: (816) 363-2600 | Kansas City Palliative Medicine 9001 State Line Rd Ste 300 Kansas City MO 64114-3212 Ph: (816) 363-2600 |
| NPI Number | 1699726380 |
|---|---|
| Provider Enumeration Date | 05/15/2006 |
| Last Update Date | 04/06/2022 |
| Certification Date | 04/06/2022 |
| Medicare PECOS PAC ID | 3971413295 |
|---|---|
| Medicare Enrollment ID | O20040308000923 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699726380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 207RH0002X | Internal Medicine - Hospice And Palliative Medicine | (* (Not Available)) | Primary |
| Provider Name | Janis M Steinbrecher |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1083605083 PECOS PAC ID: 3678465861 Enrollment ID: I20040329000712 |
| Provider Name | Pamela S Harris |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1952321580 PECOS PAC ID: 8527053107 Enrollment ID: I20040415000175 |
| Provider Name | Denise E Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821028796 PECOS PAC ID: 4587643523 Enrollment ID: I20040714001225 |
| Provider Name | Kaitlyn M Balough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093054108 PECOS PAC ID: 1557507985 Enrollment ID: I20130409000490 |
| Provider Name | Alexander L Lane |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1023380664 PECOS PAC ID: 9032332515 Enrollment ID: I20140602001769 |
| Provider Name | Angela J Interiano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811394422 PECOS PAC ID: 5496079253 Enrollment ID: I20150129000179 |
| Provider Name | Deborah S Coon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679809719 PECOS PAC ID: 2769523224 Enrollment ID: I20150511002010 |
| Provider Name | Diana Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902338254 PECOS PAC ID: 3870878259 Enrollment ID: I20170328001474 |
| Provider Name | Titania R Watkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841617909 PECOS PAC ID: 7214169648 Enrollment ID: I20171010003004 |
| Provider Name | Susan L Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194229195 PECOS PAC ID: 1850656984 Enrollment ID: I20180828003080 |
| Provider Name | Maria A Ferrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104878529 PECOS PAC ID: 3577571264 Enrollment ID: I20181114003434 |
| Provider Name | Jacqueline K Amweg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699022483 PECOS PAC ID: 5991959173 Enrollment ID: I20181213002342 |
| Provider Name | Timothy Kent Link |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1841656220 PECOS PAC ID: 5496097156 Enrollment ID: I20190429001365 |
| Provider Name | Beth Ann Houghton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144862061 PECOS PAC ID: 5890129084 Enrollment ID: I20191220001885 |
| Provider Name | Jason G Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811556160 PECOS PAC ID: 0648506014 Enrollment ID: I20201214000299 |
| Provider Name | Roya Nadji Tehrani |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1164512232 PECOS PAC ID: 8022292424 Enrollment ID: I20210719002419 |
| Provider Name | Michele Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184262941 PECOS PAC ID: 1456771146 Enrollment ID: I20210728002193 |
| Provider Name | Iman T Williams Christians |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588184246 PECOS PAC ID: 9537570304 Enrollment ID: I20220909002363 |
| Provider Name | Renee A Valdovino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790406742 PECOS PAC ID: 5496121329 Enrollment ID: I20221018003056 |
| Provider Name | Tracy A Coltharp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750783866 PECOS PAC ID: 1850613860 Enrollment ID: I20221029000240 |
| Provider Name | Jaime L Michel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306048731 PECOS PAC ID: 9638543093 Enrollment ID: I20230327000321 |
| Provider Name | Annabelle Hendrix |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497043103 PECOS PAC ID: 2769791805 Enrollment ID: I20230512002484 |
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