Provider Demographics
NPI:1508205345
Name:PIPPIN, KALEY JUDITH MORRIS (MD)
Entity Type:Individual
Prefix:DR
First Name:KALEY
Middle Name:JUDITH MORRIS
Last Name:PIPPIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KALEY
Other - Middle Name:JUDITH
Other - Last Name:MORRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6650 W 110TH ST
Mailing Address - Street 2:STE 200
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1545
Mailing Address - Country:US
Mailing Address - Phone:913-319-8400
Mailing Address - Fax:913-696-0040
Practice Address - Street 1:6650 W 110TH ST STE 100
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1544
Practice Address - Country:US
Practice Address - Phone:913-491-9299
Practice Address - Fax:913-491-3089
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-14
Last Update Date:2019-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS94-081602085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology