Provider Demographics
NPI:1417924416
Name:ASSOCIATES IN OBSTETRICS & GYNECOLOGY LIMITED PC
Entity Type:Organization
Organization Name:ASSOCIATES IN OBSTETRICS & GYNECOLOGY LIMITED PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:VICKI
Authorized Official - Middle Name:L
Authorized Official - Last Name:HUDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-941-0700
Mailing Address - Street 1:1010 CARONDELET DR
Mailing Address - Street 2:STE 328
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114-4859
Mailing Address - Country:US
Mailing Address - Phone:816-941-0700
Mailing Address - Fax:816-941-4189
Practice Address - Street 1:1010 CARONDELET DR
Practice Address - Street 2:STE 328
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-4859
Practice Address - Country:US
Practice Address - Phone:816-941-0700
Practice Address - Fax:816-941-4189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-08
Last Update Date:2009-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
18834014OtherBLUE CROSS
18834014OtherBLUE CROSS