Provider Demographics
NPI:1114049376
Name:TIMOTHY K. LINK , MD, CHARTERED
Entity Type:Organization
Organization Name:TIMOTHY K. LINK , MD, CHARTERED
Other - Org Name:TIMOTHY K. LINK, MD, PC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:LINK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:816-691-5119
Mailing Address - Street 1:10836 BARTON ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-1262
Mailing Address - Country:US
Mailing Address - Phone:913-322-2063
Mailing Address - Fax:
Practice Address - Street 1:2000 NE VIVION RD
Practice Address - Street 2:SUITE 200 NORTHCARE HOSPICE
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64118-6127
Practice Address - Country:US
Practice Address - Phone:816-691-5119
Practice Address - Fax:816-346-7119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2016-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR8H94251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1142937Medicare UPIN