Provider Demographics
NPI: | 1346562097 |
---|---|
Name: | MIDWEST WOMENS HEALTHCARE SPECIALISTS LLC |
Entity type: | Organization |
Organization Name: | MIDWEST WOMENS HEALTHCARE SPECIALISTS LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | V.P. |
Authorized Official - Prefix: | |
Authorized Official - First Name: | PATRICK |
Authorized Official - Middle Name: | J |
Authorized Official - Last Name: | KUENY |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 816-508-4090 |
Mailing Address - Street 1: | 6400 PROSPECT AVE |
Mailing Address - Street 2: | SUITE 598 |
Mailing Address - City: | KANSAS CITY |
Mailing Address - State: | MO |
Mailing Address - Zip Code: | 64132-1100 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 816-444-6888 |
Mailing Address - Fax: | 816-444-1375 |
Practice Address - Street 1: | 6400 PROSPECT AVE |
Practice Address - Street 2: | SUITE 598 |
Practice Address - City: | KANSAS CITY |
Practice Address - State: | MO |
Practice Address - Zip Code: | 64132-1100 |
Practice Address - Country: | US |
Practice Address - Phone: | 816-444-6888 |
Practice Address - Fax: | 816-444-1375 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2010-02-23 |
Last Update Date: | 2010-03-25 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Group - Single Specialty |