Provider Demographics
NPI:1992746796
Name:NEUROLOGICAL CONSULTANTS OF KANSAS CITY, INC
Entity type:Organization
Organization Name:NEUROLOGICAL CONSULTANTS OF KANSAS CITY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:L
Authorized Official - Last Name:WEINSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:816-531-4080
Mailing Address - Street 1:PO BOX 803358
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64180-3358
Mailing Address - Country:US
Mailing Address - Phone:816-531-4080
Mailing Address - Fax:816-531-0281
Practice Address - Street 1:4400 BROADWAY ST
Practice Address - Street 2:SUITE 520
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-3498
Practice Address - Country:US
Practice Address - Phone:816-531-4080
Practice Address - Fax:816-531-0281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-10
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
18733010OtherBCBS
1492OtherCOVENTRY
KSC990000AMedicare PIN
CS5231Medicare PIN
1492OtherCOVENTRY