Provider Demographics
NPI:1063707438
Name:MISASI, ADAM P (MD)
Entity type:Individual
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First Name:ADAM
Middle Name:P
Last Name:MISASI
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Gender:M
Credentials:MD
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Mailing Address - Street 1:4801 COLLEGE BLVD
Mailing Address - Street 2:
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1628
Mailing Address - Country:US
Mailing Address - Phone:816-478-4200
Mailing Address - Fax:816-875-2597
Practice Address - Street 1:3550 S 4TH ST STE 115
Practice Address - Street 2:
Practice Address - City:LEAVENWORTH
Practice Address - State:KS
Practice Address - Zip Code:66048-5061
Practice Address - Country:US
Practice Address - Phone:913-334-6800
Practice Address - Fax:913-334-0875
Is Sole Proprietor?:No
Enumeration Date:2011-06-14
Last Update Date:2022-07-29
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Provider Licenses
StateLicense IDTaxonomies
KS7644208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery