VEIN CLINIC OF GREATER KANSAS CITY PA OVERLAND PARK, KS

Contact Information

VEIN CLINIC OF GREATER KANSAS CITY, P.A.

4400 W 109TH ST STE 150
OVERLAND PARK, KS 66211-1319

Phone: 913-541-3377
Fax: 913-541-8082
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Vascular Surgery	2086S0129X	76	Physician/Peripheral Vascular Disease
Family Medicine	207Q00000X	08	Physician/Family Practice
Sonography Radiologic Technologist	2471S1302X
Surgery	208600000X	02	Physician/General Surgery
Vascular Sonography Radiologic Technologist	2471V0105X

Indicates primary specialty

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NPI Profile & details for VEIN CLINIC OF GREATER KANSAS CITY PA · (Female)

NPI Number	`1275611444`
Status	Active
Credentials
Entity	Individual
Enumeration date	11/02/2006
Last updated	12/10/2020 - About 5 years ago
Sole proprietor ¹	Not specified
Identifiers	License # 72262 KS License # 0418701 KS License # 0418958 Other 844398 AENTA HMO Other 434308 AETNA PPO Other 766289 HUMANA KS Other 09509075 BCBS KS Other 65228 BLUE CROSS BLUE SHIELD KS Other KS0418701 STATE LICENSE KS Other 45750 STATE LICENSE ARNP MO Other 09280021 BLUE CROSS BLUE SHIELD MO Other 08561018 BLUE CROSS BLUE SHIELD GR
Hospital affiliation(s)	Not Available

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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