| Ku Neurology | |
|
Landon Center On Aging Mail Stop 2012 3599 Rainbow Blvd Kansas City KS 66160 | |
| (913) 588-5273 | |
| Not Available |
| Full Name | Ku Neurology |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | Landon Center On Aging, Kansas City, Kansas |
| Authorized Official Name and Position | Abe Teferra (DEPARTMENT ADMINISTRATOR) |
| Authorized Official Contact | 9135885273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ku Neurology 3901 Rainbow Blvd 4070 Delp Mail Stop 4017 Kansas City KS 66160 Ph: (913) 588-5273 | Ku Neurology Landon Center On Aging Mail Stop 2012 3599 Rainbow Blvd Kansas City KS 66160 Ph: (913) 588-5273 |
| NPI Number | 1770629602 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 05/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770629602 | NPI | - | NPPES |
| 01340024 | Other | MO | BCBS KC GRP NUMBER |
| 062058 | Other | KS | BCBS KS GRP NUMBER |
| 100217430B | Medicaid | KS | |
| 502096100 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | (* (Not Available)) | Secondary |
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