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CARL L VAN TASELL, MD – NPI #1205986874
Diagnostic Radiology

NPI Profile for Dr CARL L VAN TASELL in KANSAS CITY, MO.

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Contact Information

CARL L VAN TASELL, MD
2800 CLAY EDWARDS DR
KANSAS CITY, MO  64116-3220
 Phone: 913-642-4900
 Fax: 913-381-0979
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

 2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for CARL L VAN TASELL · (Male)

NPI Number 1205986874
Status Active
Credentials MD
Entity Individual
Enumeration date 01/12/2007
Last updated 08/16/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 0432055
  • MO License # 2008014396
  • KS Medicaid 200424020B
  • MO Medicaid 1205986874
  • MO Other 40465019 BCBSKC & PHP
  • MO Other P00640713 RR MEDICARE
Hospital affiliation(s)
  • GREAT BEND REGIONAL HOSPITAL - (Acute Care)
    514 CLEVELAND STREET
    GREAT BEND, KS 67530
  • HAYS MEDICAL CENTER - (Acute Care)
    2220 CANTERBURY DRIVE
    HAYS, KS 67601
  • PAWNEE VALLEY COMMUNITY HOSPITAL - (Critical Access)
    923 CARROLL AVENUE
    LARNED, KS 67550
  • RUSSELL REGIONAL HOSPITAL - (Critical Access)
    200 S MAIN STREET
    RUSSELL, KS 67665
  • TREGO COUNTY LEMKE MEMORIAL HOSPITAL - (Critical Access)
    320 THIRTEENTH ST
    WA KEENEY, KS 67672
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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