Provider Demographics
NPI:1508833781
Name:MCALLASTER, CLAUDIA (MD)
Entity Type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:
Last Name:MCALLASTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CLAUDIA
Other - Middle Name:MCALLASTER
Other - Last Name:PRAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3550 SOUTH 4TH STREET
Mailing Address - Street 2:SUITE 110
Mailing Address - City:LEAVENWORTH
Mailing Address - State:KS
Mailing Address - Zip Code:66048
Mailing Address - Country:US
Mailing Address - Phone:913-651-3300
Mailing Address - Fax:913-651-4101
Practice Address - Street 1:3550 S 4TH ST
Practice Address - Street 2:SUITE 110
Practice Address - City:LEAVENWORTH
Practice Address - State:KS
Practice Address - Zip Code:66048
Practice Address - Country:US
Practice Address - Phone:913-651-3300
Practice Address - Fax:913-651-4101
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-07
Last Update Date:2012-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0418455208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100081970AMedicaid
KS100081970AMedicaid