Provider Demographics
NPI:1457471138
Name:CAREY, ERIN TEETER (MD)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:TEETER
Last Name:CAREY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 411851
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64141-1851
Mailing Address - Country:US
Mailing Address - Phone:913-588-2532
Mailing Address - Fax:913-588-6271
Practice Address - Street 1:3901 RAINBOW BLVD.
Practice Address - Street 2:MS 2028
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160
Practice Address - Country:US
Practice Address - Phone:913-588-2532
Practice Address - Fax:913-588-6271
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2014-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN49689207V00000X
KS04.36381207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN531170000Medicaid
MNP00733594OtherMEDICARE RAILROAD
MN160002750Medicare PIN