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Contact Information

MICHAEL ANDERSEN, DPM
7900 LEES SUMMIT RD
KANSAS CITY, MO64139-1236
 Phone: 816-404-7000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for MICHAEL ANDERSEN · (Male)

NPI # 1043565922
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/17/2012
Last updated 12/09/2015 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 12-00407
  • MO License # 2012024470
  • KS Medicaid 201116690A
Hospital affiliation(s)
  • BOB WILSON MEMORIAL GRANT COUNTY HOSPITAL - (Acute Care)
    415 N MAIN STREET
    ULYSSES, KS 67880
  • SCOTT COUNTY HOSPITAL - (Critical Access)
    201 ALBERT AVENUE
    SCOTT CITY, KS 67871
  • ST CATHERINE HOSPITAL - (Acute Care)
    401 EAST SPRUCE
    GARDEN CITY, KS 67846
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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