Provider Demographics
NPI:1326013251
Name:FLORKOWSKI, AARON R (MD)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:R
Last Name:FLORKOWSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:11184 ANTIOCH RD
Mailing Address - Street 2:SUITE 356
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-2420
Mailing Address - Country:US
Mailing Address - Phone:913-787-6724
Mailing Address - Fax:913-273-1210
Practice Address - Street 1:21620 MIDLAND DR
Practice Address - Street 2:STE B
Practice Address - City:SHAWNEE
Practice Address - State:KS
Practice Address - Zip Code:66218-9064
Practice Address - Country:US
Practice Address - Phone:913-787-6724
Practice Address - Fax:913-273-1210
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-22
Last Update Date:2018-12-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2004017834207W00000X
KS04 30820207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSP00969725OtherRR MEDICARE
KS200366790BMedicaid
KSKA1864Medicare PIN
KSP00969725OtherRR MEDICARE
KS200366790BMedicaid
I11033Medicare UPIN