Provider Demographics
NPI:1033178686
Name:KANSAS CITY ALLERGY & ASTHMA ASSOCIATES P A
Entity Type:Organization
Organization Name:KANSAS CITY ALLERGY & ASTHMA ASSOCIATES P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-491-1830
Mailing Address - Street 1:8675 COLLEGE BLVD
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-1863
Mailing Address - Country:US
Mailing Address - Phone:913-491-5501
Mailing Address - Fax:913-491-8901
Practice Address - Street 1:8675 COLLEGE BLVD
Practice Address - Street 2:STE 200
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-1835
Practice Address - Country:US
Practice Address - Phone:913-491-5501
Practice Address - Fax:913-491-8901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-22
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO6120000DMedicare ID - Type Unspecified
KS6120000CMedicare ID - Type Unspecified