Provider Demographics
NPI:1972583144
Name:BEHRENDS, STEVEN HENRY (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:HENRY
Last Name:BEHRENDS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 CARONDELET DR
Mailing Address - Street 2:SUITE 321
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114-4859
Mailing Address - Country:US
Mailing Address - Phone:816-942-6313
Mailing Address - Fax:816-943-6337
Practice Address - Street 1:1010 CARONDELET DR
Practice Address - Street 2:SUITE 321
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-4859
Practice Address - Country:US
Practice Address - Phone:816-942-6313
Practice Address - Fax:816-943-6337
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOMD34953208600000X
KS19968208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS057088OtherBLUE CROSS
MO13875044OtherBLUE CROSS
20050165Medicare ID - Type UnspecifiedRAILROAD
KS057088OtherBLUE CROSS
MO13875044OtherBLUE CROSS
KS0004873AMedicare ID - Type Unspecified