Provider Demographics
NPI:1447425327
Name:WAYMAN, REBECCA RAE (MD)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:RAE
Last Name:WAYMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2340 E MEYER BLVD BLDG 2
Mailing Address - Street 2:SUITE 598
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64132-1105
Mailing Address - Country:US
Mailing Address - Phone:816-444-6888
Mailing Address - Fax:816-444-1376
Practice Address - Street 1:2340 E MEYER BLVD BLDG 2
Practice Address - Street 2:SUITE 598
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64132-1105
Practice Address - Country:US
Practice Address - Phone:816-444-6888
Practice Address - Fax:816-444-1375
Is Sole Proprietor?:No
Enumeration Date:2008-04-23
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
MO2014024073207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program