National Provider Identifier Database

VEIN CLINIC OF GREATER KANSAS CITY PA
Vascular Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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
* Vascular Surgery 2086S0129X
Family Medicine 207Q00000X
Sonography Radiologic Technologist 2471S1302X
Surgery 208600000X
Vascular Sonography Radiologic Technologist 2471V0105X

* Indicates primary specialty

NPI Profile & details for VEIN CLINIC OF GREATER KANSAS CITY, P.A.

NPI Number 1275611444
Legal business name
LBN		 VEIN CLINIC OF GREATER KANSAS CITY, P.A.
Authorized official DAPHENE ROORDA - (OFFICE MNAGER)
Entity Organization
Organization subpart No
Enumeration date 11/02/2006
Last updated 12/10/2020 - About 5 years ago
Sole proprietor1 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

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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