Provider Demographics
NPI:1548759962
Name:DORTON-ALLISON, MEAGAN (RN)
Entity Type:Individual
Prefix:
First Name:MEAGAN
Middle Name:
Last Name:DORTON-ALLISON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:MEAGAN
Other - Middle Name:
Other - Last Name:DORTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2211 W 50TH TER
Mailing Address - Street 2:
Mailing Address - City:MISSION WOODS
Mailing Address - State:KS
Mailing Address - Zip Code:66205-2039
Mailing Address - Country:US
Mailing Address - Phone:816-289-1530
Mailing Address - Fax:
Practice Address - Street 1:2800 ROCK CREEK PKWY
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64117-2521
Practice Address - Country:US
Practice Address - Phone:816-906-2110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-02
Last Update Date:2018-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008003730163W00000X
KS14-120733-101163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse