Provider Demographics
NPI:1285687871
Name:TRAMP, CASEY KATHLEEN (MD)
Entity Type:Individual
Prefix:
First Name:CASEY
Middle Name:KATHLEEN
Last Name:TRAMP
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6675 HOLMES RD
Mailing Address - Street 2:SUITE 360
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64131-1150
Mailing Address - Country:US
Mailing Address - Phone:816-276-7600
Mailing Address - Fax:816-276-7992
Practice Address - Street 1:8756 W 151ST ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66221-8705
Practice Address - Country:US
Practice Address - Phone:913-380-1903
Practice Address - Fax:913-608-8668
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS0429784207Q00000X
MO2013043017207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100424290DMedicaid
KS033B936DMedicare PIN
KS100424290DMedicaid