Kelli Jo Andresen in Kansas City - Diagnostic Radiology

Kelli Jo Andresen - NPI 1073597514

Kelli Jo Andresen is a Diagnostic Radiology in Kansas City, Missouri. Kelli Jo Andresen practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Kelli Jo Andresen is 1073597514. The last update date is 2017-12-01.

Kelli Jo Andresen's current location address is 4401 Wornall Rd, Kansas City, Missouri. You can contact this provider via phone number 8169322000. The mailing address for Kelli Jo Andresen is 4401 Wornall Rd, Kansas City, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelli Jo Andresen
Address 4401 Wornall Rd, Kansas City, Missouri
Phone Number 8169322000
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1073597514
Provider Enumeration Date 2005-11-29
Last Updated Date 2017-12-01

Provider Mailing Address Detail

Address 4401 Wornall Rd
City Kansas City
State Missouri (MO)
Post Code 641113220
Phone Number 8169322000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 36297
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1073597514 MO --
37843017 MO BCBS KANSAS CITY
37843027 MO BCBS KC GRP# 18959016
200564680A KS --
39890 IA WELLMARK BCBS
P00475714 MO RAILROAD MEDICARE
472795 IA --

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FAQs about Kelli Jo Andresen

What is the unique identification code assigned to Kelli Jo Andresen by the Centers for Medicare & Medicaid Services?

The Kelli Jo Andresen has been issued the NPI (National Provider Identifier) 1073597514. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Kelli Jo Andresen's facilities are geographically located?

The facilities of Kelli Jo Andresen are physically situated at the following location: 4401 Wornall Rd, Kansas City, MO, 641113220.

What is the area of specialization for Kelli Jo Andresen, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Kelli Jo Andresen is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of expertise is 2085R0202X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1073597514 to Kelli Jo Andresen?

The Centers for Medicare & Medicaid Services originally issued the 1073597514 to Kelli Jo Andresen on 2005-11-29.

When was the information regarding Kelli Jo Andresen most recently updated?

The details pertaining to the Kelli Jo Andresen, including its address, specialty, and other relevant information, were last refreshed on 2017-12-01.

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