Provider Demographics
NPI:1588928139
Name:ROWE, EILEEN NICOLE (DO)
Entity type:Individual
Prefix:DR
First Name:EILEEN
Middle Name:NICOLE
Last Name:ROWE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:EILEEN
Other - Middle Name:NICOLE
Other - Last Name:WESTHUES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:106 W 14TH ST UNIT 1606
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64105-2281
Mailing Address - Country:US
Mailing Address - Phone:816-217-6937
Mailing Address - Fax:
Practice Address - Street 1:6675 HOLMES RD
Practice Address - Street 2:SUITE 450
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64131
Practice Address - Country:US
Practice Address - Phone:816-276-7600
Practice Address - Fax:816-276-7992
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-28
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012021610207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine