National Provider Identifier Database

KELLI J ANDRESEN, MD – NPI #1073597514
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Contact Information

KELLI J ANDRESEN, MD
4401 WORNALL RD
RADIOLOGY DEPT
KANSAS CITY, MO  64111-3220
Phone: 816-932-2000
Fax:
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for KELLI J ANDRESEN

NPI Number 1073597514
Credentials MD
Entity Individual
Enumeration date 11/29/2005
Last updated 12/01/2017 - About 9 years ago
Sole proprietor1 No
Identifiers
  • IA License #: 36297
  • MO License #: 2008002389
  • IA Medicaid: 0472795
  • KS Medicaid: 200564680A
  • MO Medicaid: 1073597514
  • IA Other: 39890 WELLMARK BCBS
  • MO Other: 37843017 BCBS KANSAS CITY
  • MO Other: 37843027 BCBS KC GRP# 18959016
  • MO Other: P00475714 RAILROAD MEDICARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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